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PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN INC. NPI 1306207386


NPI Information

NPI: 1306207386
Provider Name: PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC.
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 15D2120565

Address:
10865 MAPLE LN
SUITE C
SAINT JOHN, IN
ZIP 46373
Phone: (219) 525-4658
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PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC. is a skilled nursing facility in Saint John, 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. PARK PLACE CHRISTIAN COMMUNITY OF ST. JOHN, INC. NPI is 1306207386. The provider is registered as an organization entity type.

The provider's business location address is:

10865 MAPLE LN
SUITE C
SAINT JOHN, IN
ZIP 46373-513
Phone: (219) 525-4658

The provider's authorized official is Richard Lee Nolden .
The authorized official title is Vp Of Healthcare Strategy and has the following contact phone number (708) 342-8115.

The CLIA number assigned to this NPI record is 15D2120565 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2016 and was last updated on 3/17/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing FacilityYes

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: 5/5/2024

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