Rolling Meadows

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05008821A Issued in IN

Legal business name

ROLLING MEADOWS

Practice address

604 Rennaker St.
Rolling Meadows Health Care Center
Lafontaine, IN 46940

Phone

(765) 981-2081

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jo Banez, PT

Title

Registered Physical Therapist

Phone

(765) 506-7373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295945731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W WESTLEA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 RENNAKER ST.",
            "address_2": "ROLLING MEADOWS HEALTH CARE CENTER",
            "city": "LAFONTAINE",
            "state": "IN",
            "postal_code": "46940",
            "telephone_number": "765-981-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING MEADOWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANEZ",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "REGISTERED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "765-506-7373",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05008821A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Allen Makin, LMHC
• Tara Lynn McDaniel, COTA
• Caleb Joel Meives, PTA
• Northern Indiana Health Care System
• Riverview Hospital (Rolling Meadows Health Care Center)

• Skilled Nursing Facility in La Fontaine, IN
• Providers in La Fontaine, 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 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.