CHRISTOLE, INC (NPI# 1114013752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114013752 |
Entity Type | Organization |
Organization Name | CHRISTOLE, INC |
Practice Address |
2727 N Dunn Bloomington IN 47408 |
Mailing Address |
200 Hawthorne Nashville IN 47448 |
Practice Telephone | 8123239973 |
Practice Fax Number | 8123239962 |
Mailing Telephone | 8129881257 |
Mailing Fax Number | 8129881736 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ROBERT B. CLEMONS (CEO) |
Authorized Official Telephone | 8129881257 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2510S0010JN06 | IN | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528153962 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2701 Fairlawn, Columbus, IN 47203 | 2006-10-03 |
1275627036 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 1701 Winslow Drive, Bloomington, IN 47404 | 2006-10-03 |
1104910983 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 1922 Limestone Drive, Ellettsville, IN 47429 | 2006-10-03 |
1629161278 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 523 Park Lane, Nashville, IN 47448 | 2006-10-02 |
Street Address |
2727 N DUNN |
City | BLOOMINGTON |
State | IN |
Zip Code | 47408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
1306830849 | John William Schrader | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Sports Medicine Department, Bloomington, IN 47408 | 2005-09-09 |
Find all providers in zip 47408 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326194747 | Options for Better Living, Inc | Intermediate Care Facility, Mentally Retarded | 2709 W Ida Ln, Bloomington, IN 47403-9784 | 2007-01-26 |
1639231897 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4417 E Blackstone Ct, Bloomington, IN 47408-3181 | 2006-12-14 |
1205997350 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 214 E Southern Dr, Bloomington, IN 47401-6508 | 2006-12-13 |
1093876195 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4700 N Hite Dr, Bloomington, IN 47408-9526 | 2006-12-12 |
1376604470 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1835 S Maxwell St, Bloomington, IN 47401-6706 | 2006-12-12 |
1427118843 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 713 E Miller Dr, Bloomington, IN 47401-6541 | 2006-12-08 |
1770642233 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 3502 W Festive Dr, Bloomington, IN 47403-3904 | 2006-12-08 |
1134297591 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1006 W 11th St, Bloomington, IN 47404-3237 | 2006-12-01 |
1447328810 | Stone Belt Arc, Inc | Intermediate Care Facility, Mentally Retarded | 4100 E Deckard Dr, Bloomington, IN 47408-2806 | 2006-12-01 |
1992878714 | Msocs-bloomington | Intermediate Care Facility, Mentally Retarded | 8634 Oakland Ave S, Bloomington, MN 55420-3030 | 2006-11-17 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47408 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.