NPIMap

Organization Active NPI

Healthcare Centers of Indiana, LLC

Doing business as the Waters of Clifty Falls

  • Skilled Nursing Facility
  • Madison, IN
National Provider Identifier
1467674648
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05000116-1 Issued in IN
Legal business name
HEALTHCARE CENTERS OF INDIANA, LLC
Doing business as
the Waters of Clifty Falls
Practice address
950 Cross Ave
Madison, IN 47250-2002
Phone
(812) 273-4640
Fax
(812) 273-2925
NPI assigned
May 3, 2007
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mrs. Joy A Feldman
Title
Vice President
Phone
(716) 805-1474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05000116-1 IN Primary

Addresses

Primary practice location

950 Cross Ave
Madison, IN 47250-2002

Mailing address

300 Gleed Ave
East Aurora, NY 14052-2983
Phone (716) 652-2820

Other identifiers 1

IdentifierTypeStateIssuer
100266330BMedicaidIN

Other names 1

  • the Waters of Clifty Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Centers of Indiana LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1467674648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522983",
            "telephone_number": "716-652-2820",
            "fax_number": "171-652-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CROSS AVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502002",
            "telephone_number": "812-273-4640",
            "fax_number": "812-273-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE CENTERS OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-805-1474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05000116-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266330B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the Waters of Clifty Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.