Lodge of the Wabash, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4823 Issued in IN

Legal business name

LODGE OF THE WABASH, LTD

Practice address

723 E Ramsey Rd
Vincennes, IN 47591-6128

Phone

(812) 882-8787

NPI assigned

May 23, 2007

Last updated

Dec 14, 2011By 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

Cheryl Huginin

Title

Administrator

Phone

(812) 882-8787

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1780894899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E RAMSEY RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916128",
            "telephone_number": "812-882-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E RAMSEY RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916128",
            "telephone_number": "812-882-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODGE OF THE WABASH, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "HUGININ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-882-8787"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "4823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200157070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry L Lingle, H.A.D.
• Danny D Linkenhoker, PH.D.
• Callie B Livingston, LCPC
• Andrew Locher
• Amanda Ann Lockhart
• Melissa A Lough, FNP-C
• Nicole A Love
• Marcia Loving-Wilkerson, LCSW
• Hannah Luchtefeld, RBT
• Heather Michele Ludwig Akers

• Skilled Nursing Facility in Vincennes, IN
• Providers in Vincennes, 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 Dec 14, 2011; 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.