BEVERLY HEALTHCARE, LLC (NPI# 1013963495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013963495 |
| Entity Type | Organization |
| Organization Name | BEVERLY HEALTHCARE, LLC |
| Other Organization Name | BEVERLY LIVINGCENTER - VALPARAISO |
| Practice Address |
251 Sturdy Rd Valparaiso IN 46383-5921 |
| Practice Telephone | 2194626158 |
| Mailing Telephone | 2194626158 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | HOLLY A. JONES (SECRETARY) |
| Authorized Official Telephone | 4792014840 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY ENTERPRISES - INDIANA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000098374 | 01 |
| Other Name | Type Code |
|---|---|
| Beverly LivingCenter - Valparaiso | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396792198 | Beverly Healthcare, LLC | Skilled Nursing Facility | 1700 I St, Laporte, IN 46350-5750 | 2006-05-27 |
| 1760439798 | Beverly Healthcare, LLC | Skilled Nursing Facility | 3175 Lancer St, Portage, IN 46368-4407 | 2006-05-27 |
| 1548217359 | Beverly Healthcare, LLC | Skilled Nursing Facility | 1900 Andrew Ave, Laporte, IN 46350-6337 | 2006-05-27 |
| 1477500205 | Beverly Healthcare, LLC | Skilled Nursing Facility | 300 E Culver Rd, Knox, IN 46534-2058 | 2006-05-27 |
| 1467409292 | Beverly Healthcare, LLC | Skilled Nursing Facility | 1001 W Hively Ave, Elkhart, IN 46517-1742 | 2006-05-27 |
| 1780631838 | Beverly Healthcare, LLC | Skilled Nursing Facility | 2701 N Lyn Mar Dr, Muncie, IN 47304-5416 | 2006-05-27 |
| 1093762809 | Beverly Healthcare, LLC | Skilled Nursing Facility | 609 Tanglewood Ln, Mishawaka, IN 46545-2625 | 2006-05-27 |
| 1699721167 | Beverly Healthcare, LLC | Skilled Nursing Facility | 8181 Harcourt Rd, Indianapolis, IN 46260-2578 | 2006-05-26 |
| 1366498727 | Beverly Healthcare, LLC | Skilled Nursing Facility | 2940 N Clinton St, Fort Wayne, IN 46805-1910 | 2006-05-26 |
| 1164478798 | Beverly Healthcare, LLC | Skilled Nursing Facility | 811 E 12th St, Mishawaka, IN 46544-5408 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BEVERLY HEALTHCARE, LLC | 7160 N Dallas Parkway Suite 400, Plano, TX 75024 |
| Street Address |
251 STURDY RD |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-5921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622630 | Dycora Transitional Health - Valparaiso LLC | Skilled Nursing Facility | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2016-11-23 |
| 1598913238 | Dindo Suarez | Occupational Therapist | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2008-09-07 |
| 1760639520 | Reejee Nisnisan Guanzon | Occupational Therapist | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2008-08-25 |
| 1053599688 | Hendricks County Hospital | Skilled Nursing Facility | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043582554 | Hancock Regional Hospital | Skilled Nursing Facility | 2400 Silhavy Road, Valparaiso, IN 46383-3275 | 2012-01-30 |
| 1285681932 | Hendricks County Hospital | Skilled Nursing Facility | 3405 Campbell St, Valparaiso, IN 46385-2363 | 2006-05-28 |
| 1194772087 | Hendricks County Hospital | Skilled Nursing Facility | 1000 Elizabeth St, Valparaiso, IN 46383-4326 | 2006-05-27 |
| 1922099258 | Valparaiso Care & Rehabilitation Center | Skilled Nursing Facility | 606 Wall St, Valparaiso, IN 46383-2513 | 2005-11-04 |
| 1114917739 | Major Hospital | Skilled Nursing Facility | 3301 Calumet Ave, Valparaiso, IN 46383-2614 | 2005-10-25 |
| 1730622630 | Dycora Transitional Health - Valparaiso LLC | Skilled Nursing Facility | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2016-11-23 |
| 1053599688 | Hendricks County Hospital | Skilled Nursing Facility | 251 Sturdy Rd, Valparaiso, IN 46383-5921 | 2008-02-06 |
| 1356408348 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 606 Wall St, Valparaiso, IN 46383 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.