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APOSTOLIC CHRISTIAN RETIREMENT HOME INC NPI 1699710392


NPI Information

NPI: 1699710392
Provider Name: APOSTOLIC CHRISTIAN RETIREMENT HOME, INC

Doing Business As: PARKVIEW HAVEN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 15D0873496

Address:
101 CONSTITUTION DR
FRANCESVILLE, IN
ZIP 47946
Phone: (219) 567-9149
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APOSTOLIC CHRISTIAN RETIREMENT HOME, INC is an assisted living facility in Francesville, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. APOSTOLIC CHRISTIAN RETIREMENT HOME, INC NPI is 1699710392. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkview Haven.

The provider's business location address is:

101 CONSTITUTION DR
FRANCESVILLE, IN
ZIP 47946-316
Phone: (219) 567-9149
Fax: (219) 567-2646

The provider's authorized official is Steve Stoller .
The authorized official title is Adminastrator and has the following contact phone number (219) 567-9149.

The CLIA number assigned to this NPI record is 15D0873496 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.


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
1310400000XAssisted Living FacilityINDIANAYes
2314000000XSkilled Nursing FacilityINDIANAX

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000389220OTHERINDIANABLUE CROSS/BLUE SHIELD

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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