NPIMap

Organization Active NPI

Major Hospital

  • Skilled Nursing Facility
  • Crown Point, IN
National Provider Identifier
1790772382
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0500005151 Issued in IN
Legal business name
MAJOR HOSPITAL
Practice address
1200 Luther Dr
Crown Point, IN 46307-5043
Phone
(219) 663-3860
Fax
(219) 661-8431
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
John M Horner
Title
President & Ceo
Phone
(317) 421-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0500005151 IN Primary

Addresses

Primary practice location

1200 Luther Dr
Crown Point, IN 46307-5043

Mailing address

1200 Luther Dr
Crown Point, IN 46307-5043
Phone (219) 663-3860

Other identifiers 1

IdentifierTypeStateIssuer
100290820MedicaidIN

Other names 1

  • HEALTHCARE CENTER AT WITTENBERG VILLAGE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1790772382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LUTHER DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075043",
            "telephone_number": "219-663-3860",
            "fax_number": "219-661-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LUTHER DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075043",
            "telephone_number": "219-663-3860",
            "fax_number": "219-661-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "317-421-2012"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "0500005151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHCARE CENTER AT WITTENBERG VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.