HCR Manor Care

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

06003406A Issued in IN

Legal business name

HCR MANOR CARE

Practice address

5121 S Bancroft St
Indianapolis, IN 46237-1942

Phone

(317) 847-7570

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Kevin Flint

Title

Dor

Phone

(317) 881-9164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1437483344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 BANCROFT ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-847-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S BANCROFT ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371942",
            "telephone_number": "317-847-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCR MANOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DOR",
        "authorized_official_telephone_number": "317-881-9164"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "IN",
            "license": "06003406A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Owen Hazelrigg, D.D.S.
• Trendia Hazelwood
• David Hazra, M.D., M.P.H
• Lindsey M. Hazzard, MSW
• Tanea Renee Hazzard
• HDC Podiatry, LLC (HealthDrive Podiatry Group)
• Angela He
• Jun Kit He, MD
• Weston He
• Mitchell Thomas Heacock

• Pediatric Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.