Active NPI
Greenwood Health & Living Center
- Occupational Therapist
- Greenwood, IN
National Provider Identifier
1992953582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004323A
- Legal business name
- GREENWOOD HEALTH & LIVING CENTER
- Practice address
- 937 Fry Rd
Greenwood, IN 46142-1820 - Phone
- (317) 861-3535
- Fax
- (317) 881-4038
- NPI assigned
- Sep 8, 2008
- Organization subpart
- Yes
- Parent organization
- CARDON & ASSOCIAES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Moore, M.D.
- Title
- Owner/Ceo
- Phone
- (812) 332-2265
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004323A | IN | Primary |
| Skilled Nursing Facility | 314000000X | 31004323A | IN |
Addresses
Primary practice location
937 Fry Rd
Greenwood, IN 46142-1820
Mailing address
937 Fry Rd
Greenwood, IN 46142-1820
Phone (317) 861-3535
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1992953582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 FRY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421820",
"telephone_number": "317-861-3535",
"fax_number": "317-881-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 FRY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421820",
"telephone_number": "317-861-3535",
"fax_number": "317-881-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWOOD HEALTH & LIVING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARDON & ASSOCIAES",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "812-332-2265",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004323A",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "31004323A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.