Active NPI
MLB Terre Haute Health Facilities
- Skilled Nursing Facility
- Terre Haute, IN
National Provider Identifier
1821073941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MLB TERRE HAUTE HEALTH FACILITIES
- Practice address
- 830 S 6TH St
Terre Haute, IN 47807-4712 - Phone
- (812) 232-7102
- Fax
- (812) 235-1072
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bill Mando
- Title
- Cfo
- Phone
- (813) 635-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IN | Primary |
Addresses
Primary practice location
830 S 6TH St
Terre Haute, IN 47807-4712
Mailing address
830 S 6TH St
Terre Haute, IN 47807-4712
Phone (812) 232-7102
Other names 1
- Terre Haute Nursing and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821073941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074712",
"telephone_number": "812-232-7102",
"fax_number": "812-235-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074712",
"telephone_number": "812-232-7102",
"fax_number": "812-235-1072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MLB TERRE HAUTE HEALTH FACILITIES",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANDO",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "813-635-9500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Terre Haute Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- 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.