KINGSWAY COMMUNITY CARE CENTER (NPI# 1134318553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134318553 |
| Entity Type | Organization |
| Organization Name | KINGSWAY COMMUNITY CARE CENTER |
| Practice Address |
6722 E Us Highway 36 Avon IN 46123-8921 |
| Practice Telephone | 3172720708 |
| Practice Fax Number | 3172720918 |
| Mailing Telephone | 3172720708 |
| Mailing Fax Number | 3172720918 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MR. JOHN MOLLAUN P (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3172720708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
6722 E US HIGHWAY 36 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642623 | Ira Jay Kanfer | Voluntary or Charitable | 101 Wildwood Dr, Avon, CT 06001-4408 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1629632153 | Dekalb Council On Pregnancy | Voluntary or Charitable | 903 Cardinal Ct, Auburn, IN 46706-2678 | 2019-04-30 |
| 1356812317 | Dove Recovery House for Women | Voluntary or Charitable | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2018-12-16 |
| 1457832065 | Kylie Hadfield | Voluntary or Charitable | 6130 County Road 427, Auburn, IN 46706-9515 | 2018-08-22 |
| 1154858470 | Tonya Hayes | Voluntary or Charitable | 600 Country Club Dr Apt 62, New Albany, IN 47150-4148 | 2017-05-17 |
| 1447798889 | Catholic Charities of The Diocese of Fort Wayne-south Bend | Voluntary or Charitable | 915 S Clinton St, Fort Wayne, IN 46802-2601 | 2017-02-06 |
| 1699223461 | World Changing Nurses | Voluntary or Charitable | 1030 S Mitchner Ave, Indianapolis, IN 46239-1160 | 2016-09-21 |
| 1306213764 | Holy Family Center, Inc | Voluntary or Charitable | 3709 E Yoder Rd, Fort Wayne, IN 46819-9542 | 2015-09-01 |
| 1720486376 | Autism Society of Indiana | Voluntary or Charitable | 3951 N Meridian St, Suite 220, Indianapolis, IN 46208-4057 | 2014-12-15 |
| 1033514039 | Ride With Faith, Inc | Voluntary or Charitable | 2180 E Mowrey Rd, Columbia City, IN 46725-7611 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KINGSWAY COMMUNITY CARE CENTER.
| 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.