McCarroll Management Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

050004731 Issued in IN

Legal business name

MCCARROLL MANAGEMENT CORPORATION

Doing business as

Westpark Healthcare Center

Practice address

1316 N Tibbs Ave
Indianapolis, IN 46222-3024

Phone

(317) 634-8330

Fax

(317) 263-9442

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David L McCarroll

Title

President

Phone

(317) 634-8330

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Westpark Healthcare Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1609871292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223024",
            "telephone_number": "317-634-8330",
            "fax_number": "317-263-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223024",
            "telephone_number": "317-634-8330",
            "fax_number": "317-263-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARROLL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCARROLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-634-8330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "050004731",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05004731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000097937",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290410B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westpark Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph McCann, MD
• Karen Marie McCann, MD
• Kaitlyn McCardle
• Allison Marie McCarley, FNP-C
• Matthew Christian McCarrick
• John R McCarroll, MD
• Dale L McCarter, M.D.
• Christina B McCarthy, CPNP
• Kerry Rigsbee McCarthy, NP
• Matthew McCarthy

• Nursing Facility/Intermediate Care Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.