Organization Active NPI

Greenwood Health & Living Center

  • Occupational Therapist
  • Greenwood, IN
National Provider Identifier
1992953582
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004323A Issued in IN
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 & ASSOCIAESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.