RIVERVIEW HOSPITAL (NPI# 1740662790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740662790 |
| Entity Type | Organization |
| Organization Name | RIVERVIEW HOSPITAL |
| Other Organization Name | COPPER TRACE HEALTH AND LIVING, LLC |
| Practice Address |
1250 W 146th St Carmel IN 46074-9808 |
| Mailing Address |
2749 E Covenanter Dr Bloomington IN 47401-5454 |
| Practice Telephone | 3178445050 |
| Mailing Telephone | 8123322265 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | BRANT BUCCIARELLI (CEO) |
| Authorized Official Telephone | 3177730760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201341880 | 05 |
| Other Name | Type Code |
|---|---|
| Copper Trace Health and Living, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509181 | Riverview Hospital | Clinic/Center | 9690 E 116th St, Fishers, IN 46037-2838 | 2019-10-15 |
| 1952793762 | Riverview Hospital | Assisted Living Facility | 1925 Reeves Rd, Plainfield, IN 46168-5501 | 2015-03-03 |
| 1003238049 | Riverview Hospital | Assisted Living Facility | 3154 S State Road 135, Greenwood, IN 46143-9609 | 2014-01-10 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1710205141 | Riverview Hospital | Skilled Nursing Facility | 3525 East Hanna Avenue, Indianapolis, IN 46237 | 2010-05-10 |
| 1801903398 | Riverview Hospital | Skilled Nursing Facility | 215 Davis Rd, Ossian, IN 46777-9230 | 2006-08-23 |
| 1194832733 | Riverview Hospital | Skilled Nursing Facility | 651 State St, Franklin, IN 46131-2552 | 2006-08-23 |
| 1427165059 | Riverview Hospital | Skilled Nursing Facility | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2006-08-23 |
| 1982711321 | Riverview Hospital | Skilled Nursing Facility | 729 W 35th St, Marion, IN 46953-4215 | 2006-08-23 |
| 1568579993 | Riverview Hospital | Skilled Nursing Facility | 604 Rennaker St, La Fontaine, IN 46940-9045 | 2006-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVERVIEW HOSPITAL | 323 S Minnesota St, Crookston, MN 56716-1601 |
| Connecticut Business Registrations | RIVERVIEW HOSPITAL FOR CHILDREN AND YOUTH AUXILIARY INC. | 915 River Road, Middletown, CT 06457 |
| Colorado Business Entities | Riverview Hospitality Inc | 2650 Gilstrap Ct, Glenwood Springs, CO 81601 |
| Washington State Corporations | RIVERVIEW HOSPITALITY, INC. | 1232 Columbia Park Trl, Richland, WA 99352-4760 |
| Street Address |
1250 W 146TH ST |
| City | CARMEL |
| State | IN |
| Zip Code | 46074-9808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191088 | Jessica Lynn Kutz | Specialist/Technologist | 19000 E 191st Street, Suite K, Westfield, IN 46074 | 2019-12-13 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1760939946 | Accelerated Rehabilitation Centers, Ltd. | Physical Therapist | 956 Tournament Trail, Westfield, IN 46074 | 2016-09-06 |
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1740608157 | Kumar Mokkala | Physical Therapist | 14902 Shelborne Road, Westfield, IN 46074 | 2014-04-02 |
| 1649608886 | Carol Hooe Hughes | Counselor | 14126 Secretariat Ct, Carmel, IN 46074 | 2013-10-25 |
| 1043657166 | Krause Dental | Clinic/Center | 3247 East Sr32, Westfield, IN 46074 | 2013-05-30 |
| 1841539517 | Ruby Christina Burris | Marriage & Family Therapist | 120 Camilla Court, Suite D, Westfield, IN 46074 | 2013-01-31 |
| 1720355704 | Drew Jacobson | Physical Therapy Assistant | 16620 Lakeville Crossing, Westfield, IN 46074 | 2011-11-19 |
| 1841491271 | Glenda Janine Huffman | Physical Therapist | 614 Apollo Pky, Westfield, IN 46074 | 2007-05-31 |
| Find all providers in zip 46074 | ||||
| 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 |
|---|---|---|---|---|
| 1700256492 | Major Hospital | Skilled Nursing Facility | 616 Green House Way, Carmel, IN 46032 | 2015-10-07 |
| 1831589498 | Hancock Regional Hospital | Skilled Nursing Facility | 14751 Carey Rd, Carmel, IN 46033-9084 | 2015-02-03 |
| 1194115386 | Witham Memorial Hospital | Skilled Nursing Facility | 12315 N Pennsylvania St, Carmel, IN 46032-6600 | 2015-01-27 |
| 1689016594 | Mayflower Communities Inc. | Skilled Nursing Facility | 1335 S Guilford Rd, Carmel, IN 46032-2810 | 2013-07-19 |
| 1831119049 | Northern California Congregational Retirement Homes, Inc | Skilled Nursing Facility | 8545 Carmel Valley Road, Carmel, CA 93923 | 2006-07-20 |
| 1881632800 | Hendricks County Hospital | Skilled Nursing Facility | 12999 N Pennsylvania St, Carmel, IN 46032-5477 | 2006-06-03 |
| 1134127970 | Carmel Care Center | Skilled Nursing Facility | 118 Medical Dr, Carmel, IN 46032-2923 | 2005-07-13 |
| 1265089601 | Prairie Landing Community Inc | Skilled Nursing Facility | 1335 S Guilford Rd, Carmel, IN 46032-2999 | 2019-08-21 |
| 1841740909 | Nicole Horten | Skilled Nursing Facility | 2460 Glebe St, Carmel, IN 46032-7154 | 2016-10-12 |
| 1275961567 | Lifespan Therapy | Skilled Nursing Facility | 118 Medical Dr, Carmel, IN 46032-2923 | 2013-10-23 |
| Find all providers in CARMEL | ||||
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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.