DAVIESS COUNTY HOSPITAL (NPI# 1598192957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598192957 |
| Entity Type | Organization |
| Organization Name | DAVIESS COUNTY HOSPITAL |
| Other Organization Name | BROOKE KNOLL VILLAGE |
| Practice Address |
1108 Kingwood Drive Avon IN 46123-5500 |
| Mailing Address |
9480 Priority Way West Dr Indianapolis IN 46240-1470 |
| Practice Telephone | 3172717052 |
| Practice Fax Number | 3172717054 |
| Mailing Telephone | 3178181240 |
| Mailing Fax Number | 3178180022 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | MR. STUART REED (PRESIDENT) |
| Authorized Official Telephone | 3178181240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 13-012901-1 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brooke Knoll Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641683 | Daviess County Hospital | Skilled Nursing Facility | 363 S Fieldstone Blvd, Bloomington, IN 47403-9806 | 2015-02-10 |
| 1841688298 | Daviess County Hospital | Skilled Nursing Facility | 1694 Troy Rd, Washington, IN 47501-8211 | 2015-01-07 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1083915326 | Daviess County Hospital | Orthopaedic Surgery | 421 E Van Trees St, Washington, IN 47501-2948 | 2010-11-03 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| 1013133776 | Daviess County Hospital | Skilled Nursing Facility | 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 | 2007-04-18 |
| 1255484937 | Daviess County Hospital | Skilled Nursing Facility | 501 N Lincoln Ave, Fowler, IN 47944-1366 | 2007-01-18 |
| 1285799023 | Daviess County Hospital | Skilled Nursing Facility | 1005 South Edgewood Drive, Knox, IN 46534-8226 | 2006-12-22 |
| 1467511790 | Daviess County Hospital | Clinic/Center | 427 N 1st St, Montgomery, IN 47758 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DAVIESS COUNTY HOSPITAL | 1314 E. Walnut Street, P O Box 760, Washington, IN 47501 |
| Street Address |
1108 KINGWOOD DRIVE |
| City | AVON |
| State | IN |
| Zip Code | 46123-5500 |
| 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 | 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 |
|---|---|---|---|---|
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1396189460 | Masonicare | Skilled Nursing Facility | 15 Arlington Dr, Avon, CT 06001 | 2013-04-19 |
| 1063717528 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 762 N Dan Jones Rd, Avon, IN 46123 | 2011-01-13 |
| 1427284629 | Ann N Noblitt | Skilled Nursing Facility | 4171 Forest Point Cir, Avon, IN 46123-6668 | 2009-06-03 |
| 1962528422 | Good Samaritan Health Group, Inc | Skilled Nursing Facility | 32900 Detroit Rd, Avon, OH 44011-2018 | 2007-03-22 |
| 1841385804 | Brightview Nursing & Retirement Center Ltd. | Skilled Nursing Facility | 220 Scoville Road, Avon, CT 06001 | 2006-10-04 |
| 1619083235 | Riverview Hospital | Skilled Nursing Facility | 4171 Forest Pointe Circle, Avon, IN 46123 | 2006-08-23 |
| 1629004395 | Avon Convalescent Home, Inc. | Skilled Nursing Facility | 652 W Avon Rd, Avon, CT 06001-2906 | 2006-06-24 |
| 1326082009 | Hendricks County Hospital | Skilled Nursing Facility | 445 South S. County Rd 525 E, Avon, IN 46123 | 2006-06-15 |
| 1235127267 | R & J Investment Co Inc | Skilled Nursing Facility | 37800 French Creek Rd, Avon, OH 44011-1763 | 2005-10-13 |
| Find all providers in AVON | ||||
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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.