Scott Villa Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SCOTT VILLA CARE, LLC

Practice address

545 W Moonglo Rd
Scottsburg
Scottsburg, IN 47170-7710

Phone

(812) 752-3499

Fax

(812) 752-7632

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Donna Jo Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other names 1

• Scott Villa Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1285705731",
    "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": "414-908-8119",
            "fax_number": "414-908-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MOONGLO RD",
            "address_2": "SCOTTSBURG",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707710",
            "telephone_number": "812-752-3499",
            "fax_number": "812-752-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT VILLA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-01",
        "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": "414-908-8119"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Villa Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott County Medical Arts Pharmacy Inc
• Scott County Memorial Hospital
• Scott County School District 2
• Scott Memorial Hospital
• Scott Physician Group LLC
• Scottsburg Emergency Services, LLC
• Scottsburg Family Dentistry LLC
• Scottsburg Family Healthcare Inc
• Scottsburg Radiology Associates PSC
• Katherine Virginia Shannon, M.D.

• Skilled Nursing Facility in Scottsburg, IN
• Providers in Scottsburg, 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 Apr 1, 2008; 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.