Active NPI
Indiana Health & Rehabilitation Centers
- Skilled Nursing Facility
- French Lick, IN
National Provider Identifier
1124190087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- INDIANA HEALTH & REHABILITATION CENTERS
- Practice address
- 457 S State Road 145
French Lick, IN 47432-1036 - Phone
- (812) 936-9991
- Fax
- (812) 936-9756
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-1119
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
457 S State Road 145
French Lick, IN 47432-1036
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8114
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100287850A | Medicaid | IN |
Other names 1
NPPES NPI Registry- Medco Health & Rehabilitation Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2012.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1124190087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032903",
"telephone_number": "414-908-8114",
"fax_number": "414-908-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 S STATE ROAD 145",
"city": "FRENCH LICK",
"state": "IN",
"postal_code": "474321036",
"telephone_number": "812-936-9991",
"fax_number": "812-936-9756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA HEALTH & REHABILITATION CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "MAASSEN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "414-908-1119"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100287850A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medco Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in French Lick, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.