STATE OF INDIANA AUDITOR OF STATE (NPI# 1194778001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778001 |
| Entity Type | Organization |
| Organization Name | STATE OF INDIANA AUDITOR OF STATE |
| Other Organization Name | INDIANA VETERANS' HOME |
| Practice Address |
3851 N River Rd West Lafayette IN 47906-3765 |
| Practice Telephone | 7654631502 |
| Practice Fax Number | 7654978001 |
| Mailing Telephone | 7654631502 |
| Mailing Fax Number | 7654978001 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-02-28 |
| Authorized Official Name | LINDA SHARP (SUPERINTENDENT) |
| Authorized Official Telephone | 7654631502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 140011341 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200817200 | 05 |
| Other Name | Type Code |
|---|---|
| Indiana Veterans' Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194033092 | State of Indiana Auditor of State | Clinical Medical Laboratory | 550 W 16th St Ste B, Indianapolis, IN 46202-2218 | 2010-09-14 |
| 1356356968 | State of Indiana Auditor of State | Pharmacy | 5435 East 16th Street, Indianapolis, IN 46218-5101 | 2006-07-30 |
| 1922094481 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2005-09-21 |
| 1326169871 | State of Indiana Auditor of State | Intermediate Care Facility, Mentally Retarded | 3400 Lincoln Avenue, Evansville, IN 47714 | 2007-04-03 |
| 1235250788 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2007-04-03 |
| 1477596757 | State of Indiana Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2006-06-14 |
| 1750323531 | State of Indiana Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-06-13 |
| 1598706459 | State of Indiana Auditor of State | Pharmacy | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2006-06-09 |
| Street Address |
3851 N RIVER RD |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164474128 | Juanita M. Valley | Nurse Practitioner | 3851 N River Rd, Indiana Veterans' Home, West Lafayette, IN 47906-3762 | 2006-05-17 |
| 1124638598 | Clementina P Lo Proto | Psychologist | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2020-07-31 |
| 1689239634 | Katelyn Starrett | Dietitian, Registered | 3851 N River Rd, West Lafayette, IN 47906-3765 | 2019-05-06 |
| 1912485038 | Winona Benita Pitts | Nurse Practitioner | 3851 N River Rd, West Lafayette, IN 47906-3765 | 2018-07-31 |
| 1306322987 | Margaret Anne Titus-quear | Nurse Practitioner | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2018-07-17 |
| 1639549470 | Indianapolis Vamc | Clinic/Center | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2015-10-06 |
| 1871977116 | Patricia Ginda | Nurse Practitioner | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2015-07-16 |
| 1285939165 | Antoinette Estelle Sheridan | Pharmacist | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2011-01-24 |
| 1356667109 | State of Indiana, Auditor of State | Pharmacy | 3851 N River Rd, Pharmacy Department, West Lafayette, IN 47906-3762 | 2010-04-19 |
| 1114242534 | Valerie J Brock | Pharmacist | 3851 N River Rd, Indiana Veterans' Home Pharmacy, West Lafayette, IN 47906-3762 | 2010-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| 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 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 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 |
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| City | WEST LAFAYETTE |
| Zip Code | 47906 |
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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.