HP Pleasant Run, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HP PLEASANT RUN, INC.

Doing business as

The Manor at Southport

Practice address

7465 Madison Ave
Indianapolis, IN 46227-6564

Phone

(317) 787-1108

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By 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

Douglas K Mittleider

Title

President

Phone

(770) 619-0866

Specialties & licenses 1

Addresses

Other names 1

• The Manor at Southport Doing business as

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730384009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 SOUTH MADISON AVENUE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276564",
            "telephone_number": "317-787-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP PLEASANT RUN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Southport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reed William Hoyer, MD
• Philip Michael Hoyt, DDS
• Sarah E Hoyt, CAPRC 1
• Warren J Hoyt, MD
• HP Marion County Home Health, Inc. (Prime Care Home Health Services)
• Frank N. Hrisomalos, MD
• Nicholas Frank Hrisomalos, M.D.
• Ivelina Hristova, MD
• HRT in PC (Ageless Men's Health)
• Melissa Dawn Hruby, DO

• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, 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 Aug 22, 2020; 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.