Maplemanor Christian Home, Inc.
Organization Active NPI Nursing Facility/Intermediate Care Facility · Sellersburg, IN
NPI 1124494760 · NPPES record last updated Aug 18, 2015
Key facts
- NPI
- 1124494760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 15-000563-1 (IN)
- Legal business name
- MAPLEMANOR CHRISTIAN HOME, INC.
- Practice address
- 643 W Utica St
Sellersburg, IN 47172-1163 - Phone
- (812) 246-4866
- Fax
- (812) 246-3925
- NPI assigned
- Aug 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Katherine L. Wilson
- Title
- Accounting Clerk
- Phone
- (812) 246-4866
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 15-000563-1 | IN | Yes |
Addresses
Primary practice location
643 W Utica St
Sellersburg, IN 47172-1163
Mailing address
643 W Utica St
Sellersburg, IN 47172-1163
Phone (812) 246-4866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267610A | Medicaid | IN |
Other providers in Sellersburg, IN
- Han Ella Lim
- Jerome Lopez
- Jessica Marie Love
- Nathan Charles Lynch
- Katherine Marie Majot
- Jennifer Matthews
- Kabrina Matzke
- Ryan McLeland
- Medical Center Cardiologists, PSC
- Thomas Allan Menendez
All providers in Sellersburg, IN · Nursing Facility/Intermediate Care Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.