Organization Active NPI

Brairwood Health and Rehab Center

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1790951184
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06003667A Issued in IN
Legal business name
BRAIRWOOD HEALTH AND REHAB CENTER
Practice address
3640 Central Ave
Indianapolis, IN 46205-3569
Phone
(317) 920-7888
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Julie Katherine Troyer, PTA
Title
Pta
Phone
(317) 445-2203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06003667A IN Primary

Addresses

Primary practice location

3640 Central Ave
Indianapolis, IN 46205-3569

Mailing address

3640 Central Ave
Indianapolis, IN 46205-3569
Phone (317) 920-7888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790951184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 CENTRAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053569",
            "telephone_number": "317-920-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 CENTRAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053569",
            "telephone_number": "317-920-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIRWOOD HEALTH AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "317-445-2203",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06003667A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.