Indiana Health and Rehabilitation Centers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INDIANA HEALTH AND REHABILITATION CENTERS

Doing business as

Canterbury Nursing and Rehabilitation Center

Practice address

2827 Northgate Blvd
Fort Wayne, IN 46835-2903

Phone

(260) 492-1400

Fax

(260) 492-1699

NPI assigned

Aug 23, 2006

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna J Maassen

Title

Privacy Officer

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Canterbury Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1457468894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 NORTHGATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352903",
            "telephone_number": "260-492-1400",
            "fax_number": "260-492-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEALTH AND REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290930B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canterbury Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana Center for Recovery Outpatient Services LLC
• Indiana Epilepsy and Child Neurology, Inc.
• Indiana Family Home Health Care Corp.
• Indiana Health & Rehabilitation Center (Glenbrook Rehabilitation & Skilled Nursing Center)
• Indiana Health and Rehabilitation Centers (Canterbury Gardens)
• Indiana Medical Associates, LLC
• Indiana Pathology Consultants, Inc.
• Indiana Pediatric Dental & Anesthesia LLC
• Indiana Physical Therapy Inc
• Indiana Physical Therapy, Inc

• Skilled Nursing Facility in Fort Wayne, IN
• Providers in Fort Wayne, 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 Dec 6, 2011; 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.