Wesleyan Homes of Indiana, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060004151 Issued in IN

Legal business name

WESLEYAN HOMES OF INDIANA, INC.

Doing business as

Summerfield Health Care Center

Practice address

34 S Main St
Cloverdale, IN 46120-8531

Phone

(765) 795-4260

NPI assigned

Feb 28, 2007

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Lawlor

Title

Vice President

Phone

(203) 944-8285

Specialties & licenses 1

Addresses

Other names 1

• SUMMERFIELD HEALTH CARE CENTER Doing business as

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1679601116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LONG HILL AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "CLOVERDALE",
            "state": "IN",
            "postal_code": "461208531",
            "telephone_number": "765-795-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN HOMES OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-944-8285"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "060004151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERFIELD HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalen Elyse Sundeen, PA-C
• Michelle R Thomas
• Judy K Thrasher, PTA
• Teresa L Tomamichel, COTA
• Kati Wallace

• Skilled Nursing Facility in Cloverdale, IN
• Providers in Cloverdale, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.