Organization Active NPI

Hoosier Enterprises V, Inc.

  • Skilled Nursing Facility
  • Huntington, IN
National Provider Identifier
1417020553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOOSIER ENTERPRISES V, INC.
Doing business as
OAKBROOK VILLAGE
Practice address
850 Ash St
Huntington, IN 46750-4101
Phone
(219) 358-0047
Fax
(219) 356-5742
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Mueller
Title
Ar Manager
Phone
(317) 818-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

850 Ash St
Huntington, IN 46750-4101

Mailing address

9455 Delegates Row
Indianapolis, IN 46240-3805
Phone (317) 818-1240

Other names 1

  • OAKBROOK VILLAGE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0357746Oakbrook Village850 Ash St, Huntington, IN 46750Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

9455 Delegates Row
Indianapolis, IN 46240

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417020553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403805",
            "telephone_number": "317-818-1240",
            "fax_number": "317-818-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 ASH ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467504101",
            "telephone_number": "219-358-0047",
            "fax_number": "219-356-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER ENTERPRISES V, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "317-818-1240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKBROOK VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, IN

Sources for this page

  • 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.
  • 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.