MLB Bloomington Health Facilities, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MLB BLOOMINGTON HEALTH FACILITIES, INC

Doing business as

Bloomington Nursing and Rehab

Practice address

120 E Miller Dr
Bloomington, IN 47401-6538

Phone

(812) 336-1055

Fax

(812) 336-0934

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• Bloomington Nursing and Rehab Doing business as

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316942980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MILLER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016538",
            "telephone_number": "812-336-1055",
            "fax_number": "812-336-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MILLER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016538",
            "telephone_number": "812-336-1055",
            "fax_number": "812-336-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLB BLOOMINGTON HEALTH FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaycee Mitchell
• Jordan M Mitchell, PT, DPT
• Michael C Mitchell, RPH
• Saki Miwa, M.D.
• MJG Services LLC
• Aaron M Mobley, D.C.
• Audrey Mobley, RBT
• Elle Mobley
• Taylor Mock
• Kendall Moffitt

• Skilled Nursing Facility in Bloomington, IN
• Providers in Bloomington, 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.