Nucorp Health Associates Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

070000561 Issued in IN

Legal business name

NUCORP HEALTH ASSOCIATES INC

Practice address

7935 Calumet Ave
Munster, IN 46321-1215

Phone

(219) 836-8300

Fax

(219) 836-1814

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Colleen M Laya

Title

Director Financial Services

Phone

(219) 836-8300

Specialties & licenses 1

Addresses

Other names 1

• Munster Med Inn Doing business as

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962663724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211215",
            "telephone_number": "219-836-8300",
            "fax_number": "219-836-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211215",
            "telephone_number": "219-836-8300",
            "fax_number": "219-836-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCORP HEALTH ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LAYA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR FINANCIAL SERVICES",
        "authorized_official_telephone_number": "219-836-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "070000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munster Med Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.