Organization Active NPI

Gentlecare Inc.

  • Skilled Nursing Facility
  • Vincennes, IN
National Provider Identifier
1194713891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GENTLECARE INC.
Doing business as
gentlecare of vincennes inc.
Practice address
1202 S 16TH St
Vincennes, IN 47591-4227
Phone
(812) 882-8292
Fax
(812) 885-6308
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra Crusan
Title
Vice President
Phone
(502) 267-9057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IN Primary

Addresses

Primary practice location

1202 S 16TH St
Vincennes, IN 47591-4227

Mailing address

10519B Watterson TRL
Louisville, KY 40299-3740
Phone (502) 267-9057

Other names 1

  • gentlecare of vincennes inc. Doing business as

National Provider Directory

National Provider Directory

Locations

6962 W County Road 175 S
French Lick, IN 47432
Phone (812) 936-9901

1202 S 16th St
Vincennes, IN 47591
Phone (812) 882-8292

10519 Watterson Trl
Ste B
Louisville, KY 40299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194713891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10519B WATTERSON TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993740",
            "telephone_number": "502-267-9057",
            "fax_number": "502-267-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S 16TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914227",
            "telephone_number": "812-882-8292",
            "fax_number": "812-885-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUSAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-267-9057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gentlecare of vincennes inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

  • 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.