Organization Active NPI

Courtyard Rehabilitation Center, Inc

  • Skilled Nursing Facility
  • Goshen, IN
National Provider Identifier
1639479108
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COURTYARD REHABILITATION CENTER, INC
Practice address
2400 College Ave
Goshen, IN 46528-5010
Phone
(574) 533-0351
Fax
(574) 533-5714
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Mr. William Larry Centers
Title
President
Phone
(269) 324-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2400 College Ave
Goshen, IN 46528-5010

Mailing address

2400 College Ave
Goshen, IN 46528-5010
Phone (574) 533-0351

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1639479108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285010",
            "telephone_number": "574-533-0351",
            "fax_number": "574-533-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285010",
            "telephone_number": "574-533-0351",
            "fax_number": "574-533-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "CENTERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-324-9411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.