Active NPI
Dycora Transitional Health - Evansville Springs LLC
- Skilled Nursing Facility
- Evansville, IN
National Provider Identifier
1659814119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DYCORA TRANSITIONAL HEALTH - EVANSVILLE SPRINGS LLC
- Practice address
- 30 E Chandler Ave
Evansville, IN 47713-1631 - Phone
- (812) 423-6019
- NPI assigned
- Nov 30, 2016
- Last updated
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Hawkins
- Title
- Executive
- Phone
- (812) 423-6019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IN | Primary |
Addresses
Primary practice location
30 E Chandler Ave
Evansville, IN 47713-1631
Mailing address
30 E Chandler Ave
Evansville, IN 47713-1631
Phone (812) 423-6019
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1659814119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E CHANDLER AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131631",
"telephone_number": "812-423-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E CHANDLER AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131631",
"telephone_number": "812-423-6019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYCORA TRANSITIONAL HEALTH - EVANSVILLE SPRINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-30",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE",
"authorized_official_telephone_number": "812-423-6019"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.