Hickory Creek Healthcare Foundation, Inc. in Gaston - Intermediate Care Facility, Intellectual Disabilities
Hickory Creek Healthcare Foundation, Inc. - NPI 1265463665
Hickory Creek Healthcare Foundation, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Gaston, Indiana. Hickory Creek Healthcare Foundation, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Hickory Creek Healthcare Foundation, Inc. is 1265463665. The last update date is 2013-09-26.
Hickory Creek Healthcare Foundation, Inc.'s current location address is 502 N. Madison St, Gaston, Indiana. You can contact this provider via phone number 7653583324 and fax number 7653584365. The mailing address for Hickory Creek Healthcare Foundation, Inc. is 502 N. Madison St, Gaston, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hickory Creek Healthcare Foundation, Inc. |
|---|---|
| Address | 502 N. Madison St, Gaston, Indiana |
| Phone Number | 7653583324 |
| Fax Number | 7653584365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Waymire Brent Gary |
| Telephone Number | 3175700266 |
NPI Number Detail
| NPI Number | 1265463665 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 502 N. Madison St |
|---|---|
| City | Gaston |
| State | Indiana (IN) |
| Post Code | 4734201590 |
| Phone Number | 7653583324 |
| Fax Number | 7653584365 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 05-000614-1 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100272120 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Hickory Creek Healthcare Foundation, Inc. by the Centers for Medicare & Medicaid Services?
The Hickory Creek Healthcare Foundation, Inc. has been assigned the NPI (National Provider Identifier) 1265463665. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Hickory Creek Healthcare Foundation, Inc.'s facilities are situated?
The facilities of Hickory Creek Healthcare Foundation, Inc. are physically located at the following address: 502 N. Madison St, Gaston, IN, 4734201590.
What is Hickory Creek Healthcare Foundation, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hickory Creek Healthcare Foundation, Inc.'s specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265463665 to Hickory Creek Healthcare Foundation, Inc.?
The Hickory Creek Healthcare Foundation, Inc. received its 1265463665 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the information related to Hickory Creek Healthcare Foundation, Inc. most recently updated or refreshed?
The details pertaining to the Hickory Creek Healthcare Foundation, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-26.