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INDIANA HEALTH AND REHABILITATION CENTERS NPI 1669544516


NPI Information

NPI: 1669544516
Provider Name: INDIANA HEALTH AND REHABILITATION CENTERS

Doing Business As: IRONWOOD HEALTH AND REHABILITATION CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 15D0978853

Address:
1950 RIDGEDALE RD
SOUTH BEND, IN
ZIP 46614
Phone: (574) 291-6722
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INDIANA HEALTH AND REHABILITATION CENTERS is a skilled nursing facility in South Bend, IN. The provider is (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. INDIANA HEALTH AND REHABILITATION CENTERS NPI is 1669544516. The provider is registered as an organization entity type.
The provider Is Doing Business As Ironwood Health And Rehabilitation Center.

The provider's business location address is:

1950 RIDGEDALE RD
SOUTH BEND, IN
ZIP 46614-243
Phone: (574) 291-6722
Fax: (574) 291-8768

The provider's authorized official is Donna Jo Maassen .
The authorized official title is Director Of Compliance and has the following contact phone number (414) 908-8119.

The CLIA number assigned to this NPI record is 15D0978853 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/15/2006 and was last updated on 1/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1155103MEDICARE OSCAR/CERTIFICATIONINDIANA
2100291540AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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