Wesleyan Homes of Indiana, Inc.
Organization Active NPI Skilled Nursing Facility · Cloverdale, IN
NPI 1679601116 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1679601116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 060004151 (IN)
- Legal business name
- WESLEYAN HOMES OF INDIANA, INC.
- Practice address
- 34 S Main St
Cloverdale, IN 46120-8531 - Phone
- (765) 795-4260
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- David Lawlor
- Title
- Vice President
- Phone
- (203) 944-8285
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060004151 | IN | Yes |
Addresses
Primary practice location
34 S Main St
Cloverdale, IN 46120-8531
Mailing address
580 Long Hill Ave
Shelton, CT 06484-4803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100291250 | Medicaid | IN |
Other names
- SUMMERFIELD HEALTH CARE CENTER
Other providers in Cloverdale, IN
All providers in Cloverdale, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.