White River Lodge, Ltd in Bedford - Skilled Nursing Facility
White River Lodge, Ltd - NPI 1922218031
White River Lodge, Ltd is a Skilled Nursing Facility in Bedford, Indiana. White River Lodge, Ltd practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for White River Lodge, Ltd is 1922218031. The last update date is 2012-01-06.
White River Lodge, Ltd's current location address is 3710 Kenny Simpson Ln, Bedford, Indiana. You can contact this provider via phone number 8122757006. The mailing address for White River Lodge, Ltd is 3710 Kenny Simpson Ln, Bedford, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | White River Lodge, Ltd |
|---|---|
| Address | 3710 Kenny Simpson Ln, Bedford, Indiana |
| Phone Number | 8122757006 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Premo Brenda |
| Telephone Number | 8122757006 |
NPI Number Detail
| NPI Number | 1922218031 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 3710 Kenny Simpson Ln |
|---|---|
| City | Bedford |
| State | Indiana (IN) |
| Post Code | 474215632 |
| Phone Number | 8122757006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 4843 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200155900A | IN | -- |
Post Comment/ Review Below
What is the White River Lodge, Ltd's unique identification number?
The White River Lodge, Ltd has been assigned the NPI (National Provider Identifier) Number 1922218031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the White River Lodge, Ltd located?
The White River Lodge, Ltd is located at 3710 Kenny Simpson Ln, Bedford, IN 474215632.
What is White River Lodge, Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for White River Lodge, Ltd is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922218031 to White River Lodge, Ltd?
The Centers for Medicare & Medicaid Services assigned the 1922218031 to White River Lodge, Ltd on 2007-05-23.
When was the information pertaining to White River Lodge, Ltd most recently updated or revised?
The details related to White River Lodge, Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-06.