HP PLEASANT RUN, INC. (NPI# 1730384009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730384009 |
| Entity Type | Organization |
| Organization Name | HP PLEASANT RUN, INC. |
| Other Organization Name | THE MANOR AT SOUTHPORT |
| Practice Address |
7465 Madison Ave Indianapolis IN 46227-6564 |
| Mailing Address |
7465 South Madison Avenue Indianapolis IN 46227 |
| Practice Telephone | 3177871108 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS K MITTLEIDER (PRESIDENT) |
| Authorized Official Telephone | 7706190866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Manor at Southport | Doing Business As Name - Organization |
| Street Address |
7465 MADISON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-6564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902230634 | Ellishiona Jamison | Community Health Worker | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2013-08-29 |
| 1306198999 | Tishann Stanton | Speech-Language Pathologist | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2012-10-08 |
| 1063767804 | Danese Dunlap Malkmus | Speech-Language Pathologist | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2012-07-18 |
| 1831454594 | Christa Edwards | Occupational Therapist | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2012-07-09 |
| 1386951200 | Nikitaben Arvindbhai Patel | Physical Therapist | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2010-09-14 |
| 1861713612 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2010-06-16 |
| 1134446008 | Dee Ann Burgess | Physical Therapy Assistant | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2010-04-30 |
| 1447586789 | Madison Health Care Center | Skilled Nursing Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2009-10-21 |
| 1790010080 | Madison Health Care Properties LLC | Skilled Nursing Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 |
|---|---|---|---|---|
| 1619337839 | Hancock Regional Hospital | Skilled Nursing Facility | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2016-03-01 |
| 1568881480 | Rabecca Howard | Skilled Nursing Facility | 5404 Georgetown Rd, Indianapolis, IN 46254-3781 | 2014-04-08 |
| 1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
| 1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1710205141 | Riverview Hospital | Skilled Nursing Facility | 3525 East Hanna Avenue, Indianapolis, IN 46237 | 2010-05-10 |
| 1619176641 | Witham Memorial Hospital | Skilled Nursing Facility | 9480 Priority Way West Dr, Indianapolis, IN 46240-1470 | 2007-07-11 |
| 1013133776 | Daviess County Hospital | Skilled Nursing Facility | 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 | 2007-04-18 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1265515266 | Daviess County Hospital | Skilled Nursing Facility | 1747 N Rural St, Indianapolis, IN 46218-4425 | 2006-10-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.