Organization Active NPI

Dycora Transitional Health - Evansville LLC

  • Skilled Nursing Facility
  • Evansville, IN
National Provider Identifier
1306389200
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DYCORA TRANSITIONAL HEALTH - EVANSVILLE LLC
Practice address
816 N 1St Ave
Evansville, IN 47710-1938
Phone
(812) 426-2841
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Mary Hawkins
Title
Executive
Phone
(812) 426-2841

Specialties & licenses 1

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

Addresses

Primary practice location

816 N 1St Ave
Evansville, IN 47710-1938

Mailing address

816 N 1St Ave
Evansville, IN 47710-1938
Phone (812) 426-2841

National Provider Directory

National Provider Directory

Locations

816 N 1st Ave
Evansville, IN 47710
Phone (812) 426-2841

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1306389200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101938",
            "telephone_number": "812-426-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101938",
            "telephone_number": "812-426-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - EVANSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "812-426-2841"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.