EVANSVILLE CARE CAMPUS LLC (NPI# 1134352917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134352917 |
| Entity Type | Organization |
| Organization Name | EVANSVILLE CARE CAMPUS LLC |
| Other Organization Name | EVANSVILLE CARE CENTER |
| Practice Address |
649 State St Nw Evansville MN 56326-8124 |
| Practice Telephone | 2189482219 |
| Mailing Telephone | 2189482219 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | MR. ARLYNN E JOHNSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2189482454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| EVANSVILLE CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992038905 | Evansville Care Campus LLC | Assisted Living Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-09-09 |
| Street Address |
649 STATE ST NW |
| City | EVANSVILLE |
| State | MN |
| Zip Code | 56326-8124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640132 | Foundation for Rural Health Care | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2005-09-27 |
| 1992038905 | Evansville Care Campus LLC | Assisted Living Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592552 | Kramer Chiropractic P.a. | Clinic/Center | 105 Main St Nw, Box 206, Evansville, MN 56326-4548 | 2007-08-07 |
| 1023110350 | Foundation for Rural Health Care | Assisted Living Facility | 651 State St Nw, Evansville, MN 56326-8183 | 2006-09-05 |
| 1982133880 | Kathereine Marie Vanderweyst | Foster Care Agency | 17515 Wolf Creek Rd Nw, Evansville, MN 56326-8269 | 2017-06-06 |
| 1861531154 | Donna K Meissner | Homemaker | 16866 County Road 16 Nw, Evansville, MN 56326-8313 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306294 | Angela Mamat | Registered Nurse | 2830 Woodside Ct, Evansville, IN 47711-6731 | 2020-11-03 |
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1346848132 | Katelyn Wendt | Registered Nurse | 105 S Madison St, Evansville, WI 53536-1365 | 2020-10-13 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1902410095 | Crystal Blair | Physical Therapist | 5050 Lincoln Ave Apt Suite, Evansville, IN 47715-7390 | 2020-09-04 |
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| Find all providers in EVANSVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| 1700137353 | Trurehab LLC | Skilled Nursing Facility | 12251 Highway 41 N, Suite A, Evansville, IN 47725-7014 | 2012-09-23 |
| 1184930737 | Good Samaritan Hospital | Skilled Nursing Facility | 714 S Eickhoff Rd, Evansville, IN 47712-9060 | 2010-08-20 |
| 1053558296 | Cfb Healthcare, Inc. | Skilled Nursing Facility | 909 1st Ave, Evansville, IN 47710-1939 | 2009-01-09 |
| 1811146681 | Good Samaritan Hospital | Skilled Nursing Facility | 1701 Mcdowell Rd, Evansville, IN 47712-5431 | 2008-09-16 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1932256922 | Core of Evansville, Inc. | Skilled Nursing Facility | 909 N 1st Ave, Evansville, IN 47710-1939 | 2007-01-04 |
| 1376615146 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 650 Fairway Dr, Evansville, IN 47710-3306 | 2006-11-15 |
| 1003988700 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 25 S Boehne Camp Rd, Evansville, IN 47712-3101 | 2006-11-15 |
| 1659452449 | Americare Living Centers IIi, LLC | Skilled Nursing Facility | 4301 Washington Ave, Evansville, IN 47714-0678 | 2006-10-18 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 56326 |
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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.