BLUE DIAMOND VILLAS (NPI# 1952812034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952812034 |
| Entity Type | Organization |
| Organization Name | BLUE DIAMOND VILLAS |
| Other Organization Name | THE GREEN HOUSE VILLAGE OF GOSHEN |
| Practice Address |
1510 Sandpiper Lane Goshen IN 46526 |
| Mailing Address |
1640 Autumn Blaze Ln Goshen IN 46526-7000 |
| Practice Telephone | 3176535767 |
| Mailing Telephone | 3176535767 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. REX HOCHSTEDLER (CFO) |
| Authorized Official Telephone | 3176535767 |
| 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 | INDIANA DEPARTMENT OF REVENUE ID | 0161052010-000 | 01 |
| Other Name | Type Code |
|---|---|
| The Green House Village of Goshen | Doing Business As Name - Organization |
| Street Address |
1510 SANDPIPER LANE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| 1326251679 | Natasha Marie Loop | Speech-Language Pathologist | 1721 Greencroft Blvd, Greencroft Retirement Center, Goshen, IN 46526 | 2007-05-07 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1093090730 | Wanda Bontrager | Skilled Nursing Facility | 404 Mount Vernon Dr, Goshen, IN 46526-1432 | 2011-10-13 |
| 1376608679 | Elant At Goshen, Inc. | Skilled Nursing Facility | 46 Harriman Drive, Goshen, NY 10924-2410 | 2006-12-27 |
| 1235294547 | Glen Arden, Inc. | Skilled Nursing Facility | 214 Harriman Drive, Goshen, NY 10924-2410 | 2006-12-27 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1417991415 | Hancock Regional Hospital | Skilled Nursing Facility | 1332 Waterford Cir, Goshen, IN 46526-6009 | 2006-06-16 |
| 1154321669 | Americare Living of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2005-07-26 |
| 1770586554 | Woodlawn Hospital | Skilled Nursing Facility | 1225 Greencroft Dr, Goshen, IN 46526-5102 | 2005-05-24 |
| 1720523954 | Goshen Operations LLC | Skilled Nursing Facility | 46 Harriman Dr, Goshen, NY 10924-2410 | 2016-12-26 |
| 1639479108 | Courtyard Rehabilitation Center, Inc | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2010-10-29 |
| 1164588315 | Lrc Management LLC, Dba The Courtyard of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2006-12-29 |
| Find all providers in GOSHEN | ||||
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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.