Middletown Healthcare Management Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4712 Issued in IN

Legal business name

MIDDLETOWN HEALTHCARE MANAGEMENT INC

Practice address

131 S 10TH St
Middletown, IN 47356-9772

Phone

(765) 354-2223

Fax

(765) 354-9066

NPI assigned

Oct 6, 2005

Last updated

Dec 28, 2009By 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

Mrs. Sandra Ellen Spaugh, ADMIN/RN

Title

Administrator

Phone

(765) 354-2223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• middletown nursing center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1326036047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S 10TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569772",
            "telephone_number": "765-354-2223",
            "fax_number": "765-354-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S 10TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569772",
            "telephone_number": "765-354-2223",
            "fax_number": "765-354-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN HEALTHCARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SPAUGH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-354-2223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMIN/RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "4712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000098058",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "middletown nursing center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Johnson Memorial Hospital (The Waters of Middletown Skilled Nursing Facility)
• Patty Pettit Kovacs, MS, RD, CD
• Katie M Lee, NP
• Lisbon Tree Counseling Services LLC
• Rebekah Luiten, LCPC, LMHC
• Middletown-Fallcreek Township Emergency Service Inc.
• Moore Healthcare Enterprises Inc (Middletown Nursing and Rehabilitation Center)
• Phillip D Foley Medical Corp
• Barbara Jean Pittsford
• Brittney Richwine

• Skilled Nursing Facility in Middletown, IN
• Providers in Middletown, 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 Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.