Hoosier Care III, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1997116498 Issued in DE

Legal business name

HOOSIER CARE III, INC.

Doing business as

Churchman Village

Practice address

4949 Ogletown Stanton Rd
Newark, DE 19713-2068

Phone

(302) 998-6900

Fax

(302) 998-4214

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Dean Reid

Title

Administrator

Phone

(302) 998-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Churchman Village Doing business as

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1558629972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132068",
            "telephone_number": "302-998-6900",
            "fax_number": "302-998-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132068",
            "telephone_number": "302-998-6900",
            "fax_number": "302-998-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER CARE III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-998-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1997116498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ET86032W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchman Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Honig, DDS
• Timothy Honig, MT-BC
• Tara Hood, D.O.
• Erin KL Hook, RD, CDN
• Kathryn E Hook, NP
• James T Hopkins, M.D.
• Molly Hopkins
• Christine Edith Kershner Horah, D.O.
• Horizon House Delaware Inc
• Robin A Horn, M.D.

• Skilled Nursing Facility in Newark, DE
• Providers in Newark, DE by specialty
• Skilled Nursing Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.