MCC of Muncie

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MCC OF MUNCIE

Doing business as

Lincolnshire Place

Practice address

1600 N Morrison Rd
Muncie, IN 47304-5338

Phone

(765) 587-2714

Fax

(765) 216-1040

NPI assigned

May 16, 2023

Last updated

May 16, 2023By 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

Alyssa Butterfield

Title

Executive Director

Phone

(765) 587-2714

Specialties & licenses 2

Addresses

Other names 1

• Lincolnshire Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1922799550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045338",
            "telephone_number": "765-587-2714",
            "fax_number": "765-216-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045338",
            "telephone_number": "765-587-2714",
            "fax_number": "765-216-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC OF MUNCIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "BUTTERFIELD",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-587-2714"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnshire Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cayla Mays, NP
• Kyra Mazanowski
• Jennifer Mazzola
• Cassandra McAllister, BCBA
• Tess McAllister, OTD, OTR
• Jaelyn McCaffery
• Jessica McCain
• Rory McCain
• Martha McCart Silvidi, NP
• Niko J McCarter, CRNA

• Assisted Living Facility in Muncie, IN
• Providers in Muncie, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.