Organization Active NPI

Southern Indiana Rehabilitation Hospital

  • Skilled Nursing Facility
  • New Albany, IN
National Provider Identifier
1619020393
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHERN INDIANA REHABILITATION HOSPITAL
Practice address
3104 Blackiston Blvd
New Albany, IN 47150-9579
Phone
(812) 941-8300
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Cathy Kidd, PH.D.
Title
Chief Financial Officer
Phone
(502) 581-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3104 Blackiston Blvd
New Albany, IN 47150-9579

Mailing address

PO Box 2587
Louisville, KY 40201-2587

Other identifiers 1

IdentifierTypeStateIssuer
155765OtherKYMEDICARE

Other names 1

  • Southern Indiana Rehabilitation Hospital Skilled Nursing Facility Doing business as

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1619020393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLACKISTON BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509579",
            "telephone_number": "812-941-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-581-8603",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "155765",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Rehabilitation Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.