Healthcare Centers of Indiana, LLC
Organization Active NPI Skilled Nursing Facility · Covington, IN
NPI 1508079757 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1508079757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 05-000128-2 (IN)
- Legal business name
- HEALTHCARE CENTERS OF INDIANA, LLC
- Practice address
- 1600 Liberty St
Covington, IN 47932-1715 - Phone
- (765) 793-4818
- Fax
- (765) 793-5047
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Joy A Feldman
- Title
- Vice President
- Phone
- (716) 805-1474
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Healthcare Centers of Indiana LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000128-2 | IN | Yes |
Addresses
Primary practice location
1600 Liberty St
Covington, IN 47932-1715
Mailing address
300 Gleed Ave
East Aurora, NY 14052-2983
Phone (716) 652-2820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100289650B | Medicaid | IN |
Other names
- the Waters of Covington
Other providers in Covington, IN
- Timothy James Grzeskiewicz
- Elizabeth Hackney
- William F Handt
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- William Clinton Hawks Jr.
- Hook-Superx LLC
- Hopewell Homestead, Inc
- Michael C Horvath
- Candace Lue Hutts
- Cody Knecht
All providers in Covington, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.