Organization Active NPI

Paramount of Indianapolis, LLC

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1992750756
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05-000195-1 Issued in IN
Legal business name
PARAMOUNT OF INDIANAPOLIS, LLC
Doing business as
Cambridge Manor Nursing & Rehabilitation Center
Practice address
8530 Township Line Rd
Indianapolis, IN 46260-1927
Phone
(317) 876-9955
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Michael Paul Turner Sr.
Title
Vice President of Finance
Phone
(520) 254-4949

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-000195-1 IN Primary
Nursing Facility Supplies (DME) 332BN1400X 100267690B IN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 100267690B IN

Addresses

Primary practice location

8530 Township Line Rd
Indianapolis, IN 46260-1927

Mailing address

350 Evergreen Rd
Suite 3
Louisville, KY 40243-1010
Phone (502) 254-4949

Other identifiers 1

IdentifierTypeStateIssuer
100267690BMedicaidIN

Other names 1

  • Cambridge Manor Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

350 Evergreen Rd
Ste 3
Louisville, KY 40243

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1992750756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD",
            "address_2": "SUITE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "502-254-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601927",
            "telephone_number": "317-876-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT OF INDIANAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "520-254-4949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000195-1",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IN",
            "license": "100267690B",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "100267690B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267690B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 2011; 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.