NPIMap

Organization Active NPI

Fal-Bloomington, Inc

Doing business as Bloomington Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bloomington, IN
National Provider Identifier
1376725358
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FAL-BLOOMINGTON, INC
Doing business as
Bloomington Nursing and Rehabilitation Center
Practice address
120 E Miller Dr
Bloomington, IN 47401-6538
Phone
(812) 336-1055
Fax
(812) 336-0934
NPI assigned
Nov 30, 2007
Last updated
May 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Mr. William P Mando
Title
Cfo
Phone
(813) 635-9500

Specialties & licenses 1

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

Addresses

Primary practice location

120 E Miller Dr
Bloomington, IN 47401-6538

Mailing address

120 E Miller Dr
Bloomington, IN 47401-6538
Phone (812) 336-1055

Other names 1

  • Bloomington Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adams County Mem Hospital73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1376725358",
    "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": "FAL-BLOOMINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.