WHITE RIVER LODGE, LTD


Address: 3710 Kenny Simpson Ln, Bedford, IN 47421-5632
Phone: 8122757006

WHITE RIVER LODGE, LTD (NPI# 1922218031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922218031
Entity Type Organization
Organization Name WHITE RIVER LODGE, LTD
Practice Address 3710 Kenny Simpson Ln
Bedford
IN 47421-5632
Practice Telephone 8122757006
Mailing Telephone 8122757006
Enumeration Date 2007-05-23
Last Update Date 2012-01-06
Authorized Official Name BRENDA PREMO (ADMINISTRATOR)
Authorized Official Telephone 8122757006
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 4843 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 200155900A 05

Office Location

Street Address 3710 KENNY SIMPSON LN
City BEDFORD
State IN
Zip Code 47421-5632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205398740 Melissa Sojka Occupational Therapy Assistant 3710 Kenny Simpson Ln, Bedford, IN 47421-5632 2019-04-03
1609136159 Rush Memorial Hospital Skilled Nursing Facility 3710 Kenny Simpson Ln, Bedford, IN 47421-5632 2012-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114406303 Leana Michelle Massimini Speech-Language Pathologist 3710 Kenneth Simpson Ln, Bedford, IN 47421 2018-08-09
1497246888 Sara Lehr Corry Counselor 2325 Q St., Bedford, IN 47421 2018-05-22
1760737274 Lisa Lynne Autry Social Worker 2125 16th Street, Bedford, IN 47421 2012-07-20
1285998153 Reid Clipp Crosby Obstetrics & Gynecology 118woodhill Dr, Bedford, IN 47421 2012-06-26
1730453184 Fields Chiropractic Inc Chiropractor 2418 W 16th St, Bedford, IN 47421 2012-03-02
1639461783 Lori Wininger Physical Therapy Assistant 2137 16th Street, Bedford, IN 47421 2011-05-09
1871743716 Union Optical and Eyecare Center, Inc. Optometrist 3343 Michael Ave, Bedford, IN 47421 2008-09-29
1326207176 Ross Wright Surgery 179 Shawswick Road, Bedford, IN 47421 2008-06-06
1336320563 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 1510 Clinic Dr, Bedford, IN 47421 2007-11-15
1306031992 Assisted Living Concepts Inc Assisted Living Facility 3008 Shawnee Drive, South Bedford, IN 47421 2007-09-07
Find all providers in zip 47421

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447610977 Hamilton County Hospital District Skilled Nursing Facility 2112 Forum Pkwy, Bedford, TX 76021-6028 2016-02-25
1336320563 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 1510 Clinic Dr, Bedford, IN 47421 2007-11-15
1295882272 Major Hospital Skilled Nursing Facility 514 16th St, Bedford, IN 47421-3817 2007-01-04
1922183086 Jackson County Schneck Memorial Hospital Skilled Nursing Facility 3100 S Shawnee Dr, Bedford, IN 47421-5287 2006-10-26
1396820890 La Dora Management, Inc. Skilled Nursing Facility 1960 Bedford Rd, Bedford, TX 76021-5722 2006-10-25
1295768273 Harborside New Hampshire Limited Partnership Skilled Nursing Facility 30 Colby Ct, Bedford, NH 03110-6426 2006-07-10
1720020399 Mckerley Health Care Centers, Inc. Skilled Nursing Facility 480 Donald St, Bedford, NH 03110-5945 2006-06-11
1881649242 Donahoe Manor-bedford Pa LLC Skilled Nursing Facility 136 Donahoe Manor Rd, Bedford, PA 15522-9728 2006-05-24
1568432466 Care Initiatives Skilled Nursing Facility 1005 Pearl St, Bedford, IA 50833-1276 2006-01-24
1629057138 Hqm of Trimble County, Inc. Skilled Nursing Facility 50 Shepherd Ln, Trimble County, Bedford, KY 40006-8809 2006-01-12
Find all providers in BEDFORD

Competitor

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City BEDFORD
Zip Code 47421

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Dataset Information

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.

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