MAPLEMANOR CHRISTIAN HOME, INC. (NPI# 1124494760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124494760 |
| Entity Type | Organization |
| Organization Name | MAPLEMANOR CHRISTIAN HOME, INC. |
| Practice Address |
643 W Utica St Sellersburg IN 47172-1163 |
| Practice Telephone | 8122464866 |
| Practice Fax Number | 8122463925 |
| Mailing Telephone | 8122464866 |
| Mailing Fax Number | 8122463925 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MRS. KATHERINE L. WILSON (ACCOUNTING CLERK) |
| Authorized Official Telephone | 8122464866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 15-000563-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100267610A | 05 |
| Street Address |
643 W UTICA ST |
| City | SELLERSBURG |
| State | IN |
| Zip Code | 47172-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008944 | Eva De Fiesta | Physical Therapist | Carefirst Rehab, 7225nova's Landing, Sellersburg, IN 47172 | 2019-11-21 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1447774971 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 State Route 311, Sellersburg, IN 47172 | 2017-07-26 |
| 1093251829 | Ronda Merryman-valiyi | Health Educator | 3010 Plum Woods Ct, Sellersburg, IN 47172 | 2017-01-18 |
| 1639422348 | Mary Mollerus | Pharmacist | 2853 Plantation Court, Sellersburg, IN 47172 | 2012-10-18 |
| 1518112929 | Joyce Marie Applegate | Dental Hygienist | 809 South Indiana Avenue, Sellersburg, IN 47172 | 2008-11-26 |
| 1265696041 | Linda Kaye Abell | Occupational Therapist | 7823 Old State Hwy 60, Sellersburg, IN 47172 | 2008-07-11 |
| 1154596252 | Ronald Lee Waggoner | Counselor | 635 W Utica St, Waggoners Counseling, Sellersburg, IN 47172 | 2008-04-29 |
| 1407995806 | Michael J Moskal | Orthopaedic Surgery | 130 Hunters Station Way, Suite 201, Sellersburg, IN 47172 | 2007-02-05 |
| 1689773343 | Designing Smiles Psc | Dentist | 7709 Highway 311, Sellersburg, IN 47172 | 2006-09-21 |
| Find all providers in zip 47172 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1720253313 | Davis Elderly Care, LLC | Nursing Facility/Intermediate Care Facility | 5139 S Hanover Saluda Rd, Hanover, IN 47243-9212 | 2008-04-24 |
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| 1982729604 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 6996 S Us 421, Versailles, IN 47042-9390 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSBURG |
| Zip Code | 47172 |
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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.