Park Place Christian Community of St. John, Inc.
Organization Active NPI Skilled Nursing Facility · Saint John, IN
NPI 1306207386 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1306207386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC.
- Practice address
- 10865 Maple LN
Suite C
Saint John, IN 46373-8513 - Phone
- (219) 525-4658
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Lee Nolden
- Title
- VP of Healthcare Strategy
- Phone
- (708) 342-8115
Member of 1
National Provider Directory
Locations
18601 North Creek Dr
Ste C
Tinley Park, IL 60477
10865 Maple Ln
Ste C
Saint John, IN 46373
Phone (219) 525-4658
10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
10865 Maple LN
Suite C
Saint John, IN 46373-8513
Mailing address
18601 N Creek Dr
Suite C
Tinley Park, IL 60477-6397
Phone (708) 342-8115
Other providers in Saint John, IN
- Northwest Pediatric Dental LLC
- Courtney Olavarria
- Nicole Lynn Olen
- Michael Olenik
- Bina K Parekh
- Nicole T. Parker
- Shalini Patel
- Shawn Patrick
- Kieran L Penning
- Andres Perales Jr.
All providers in Saint John, IN · Skilled Nursing 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 Mar 17, 2016. 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.