Active NPI
Paramount of Indianapolis, LLC
- Skilled Nursing Facility
- Indianapolis, IN
National Provider Identifier
1992750756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 05-000195-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267690B | Medicaid | IN |
Other names 1
- Cambridge Manor Nursing & Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
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.