Organization Active NPI

Waters of Scottsburg II

  • Skilled Nursing Facility
  • Scottsburg, IN
National Provider Identifier
1275767667
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERS OF SCOTTSBURG II
Practice address
1350 N. Todd Dr.
Scottsburg, IN 47170-7755
Phone
(812) 752-5663
Fax
(812) 752-9853
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Alan Sorscher
Title
Cfo
Phone
(708) 449-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1350 N. Todd Dr.
Scottsburg, IN 47170-7755

Mailing address

240 Fencl Lane
Hillside, IL 60162-2067
Phone (708) 449-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1275767667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FENCL LANE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622067",
            "telephone_number": "708-449-1900",
            "fax_number": "708-449-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N. TODD DR.",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707755",
            "telephone_number": "812-752-5663",
            "fax_number": "812-752-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS OF SCOTTSBURG II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "SORSCHER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-449-1900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.