Active NPI
Hoosier Enterprises V, Inc.
- Skilled Nursing Facility
- Huntington, IN
National Provider Identifier
1417020553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0357746 | Oakbrook Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.