Vincennes Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6295 Issued in IN

Legal business name

VINCENNES OPERATOR, LLC

Doing business as

Crestview Healthcare Center

Practice address

3801 Old Bruceville Rd
Box 216
Vincennes, IN 47591-3889

Phone

(812) 882-1783

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Allen Craig Tschudi

Title

Managing Member

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other names 1

• Crestview Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407927098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LAGRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 OLD BRUCEVILLE RD",
            "address_2": "BOX 216",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913889",
            "telephone_number": "812-882-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENNES OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSCHUDI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincennes Family Health Care LLC
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• Vincennes Neurosurgical Consulting LLC
• Vincennes Ocular Centre, Inc.
• Vincennes Orthopaedic Surgery Clinic, Inc
• Vincennes Orthopaedic Surgery Clinic, Inc.
• Vincennes Podiatry Associates, LLC
• Vincennes Radiology, Inc.
• Vincennes Surgery Center LP

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