CLARK NURSING AND REHABILITATION CENTER, LLC (NPI# 1114046463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114046463 |
Entity Type | Organization |
Organization Name | CLARK NURSING AND REHABILITATION CENTER, LLC |
Other Organization Name | CLARK NURSING AND REHABILITATION CENTER |
Practice Address |
1964 Clark Rd Gary IN 46404-2550 |
Practice Telephone | 2199499640 |
Practice Fax Number | 2199499693 |
Mailing Telephone | 2199499640 |
Mailing Fax Number | 2199499693 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARK STEINGBERG (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8479053000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 5200 | IN | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Clark Nursing and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023540127 | Clark Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1213 Westfield Ave, Clark, NJ 07066-1323 | 2017-03-29 |
Street Address |
1964 CLARK RD |
City | GARY |
State | IN |
Zip Code | 46404-2550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447672431 | Night Owl Inc. Home Care | In Home Supportive Care | 2209 Marshall St., Gary, IN 46404 | 2014-01-10 |
1881974608 | Verlilia Ann Pettigrew | Community Health Worker | 2144 Taney Pl, Gary, IN 46404 | 2011-08-24 |
1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
1225064793 | Medical Supply Plus Inc | Durable Medical Equipment & Medical Supplies | 1982 Grant Street, Gary, IN 46404 | 2006-06-24 |
1275808065 | Suma Suresh Nair | Occupational Therapist | 2350 Taft Street, Timberview Health Care, Gary, IN 46404 | 2012-03-13 |
1093123234 | Lynne Marie Clapman | Nurse Practitioner | 1619 W. 5th Ave, Gary, IN 46404-0789 | 2014-07-31 |
1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
1760682652 | Marion Bernice Miller | Registered Nurse | 260 Arthur St, Gary, IN 46404-1118 | 2007-07-19 |
1932708575 | Jasmine Anita Johnson | Nurse's Aide | 431 Hayes St, Gary, IN 46404-1135 | 2020-10-24 |
1700086402 | Rosa L Murphy | Home Health Aide | 324 Mckinley St, Gary, IN 46404-1144 | 2007-07-20 |
Find all providers in zip 46404 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518023456 | Mcdowell Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Route 103, Gary, WV 24836-0220 | 2006-12-28 |
1306953740 | Major Hospital | Skilled Nursing Facility | 2350 Taft St, Gary, IN 46404-3349 | 2006-08-23 |
1346292737 | Decatur County Memorial Hospital | Skilled Nursing Facility | 353 Tyler Street, Gary, IN 46402-1149 | 2006-05-16 |
1720130537 | The Methodist Hospitals,inc. - Progressive Care Unit | Skilled Nursing Facility | 600 Grant St, Administration Building, Gary, IN 46402-6099 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
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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.