Flatrock River Lodge, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4818 Issued in IN

Legal business name

FLATROCK RIVER LODGE, LP

Practice address

904 E 11TH St
Rushville, IN 46173-1368

Phone

(765) 932-2974

NPI assigned

May 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julia Wilson

Title

Administrator

Phone

(765) 932-2974

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114137296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731368",
            "telephone_number": "765-932-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731368",
            "telephone_number": "765-932-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATROCK RIVER LODGE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-932-2974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Douglas W. Morrell
• Edwin Dale Dunteman, MD, MS
• Susan Elizabeth Engel Eakins, LCSW
• Ashley Edwards
• Craig A Fenimore, O.D.
• Rachel Fox, RN
• Jill Garreth, FNP
• Brylee Garrison
• John Wayne Gasser, MMFT
• Teresa D Geis, CRNA

• Skilled Nursing Facility in Rushville, IN
• Providers in Rushville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.