CHRISTOLE, INC (NPI# 1104910983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104910983 |
| Entity Type | Organization |
| Organization Name | CHRISTOLE, INC |
| Practice Address |
1922 Limestone Drive Ellettsville IN 47429 |
| Mailing Address |
200 Hawthorne Nashville IN 47448 |
| Practice Telephone | 8128768721 |
| Practice Fax Number | 8128760715 |
| Mailing Telephone | 8129881257 |
| Mailing Fax Number | 8129881736 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT B. CLEMONS (CEO) |
| Authorized Official Telephone | 8129881257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2510B0009JN07 | IN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1528153962 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2701 Fairlawn, Columbus, IN 47203 | 2006-10-03 |
| 1275627036 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 1701 Winslow Drive, Bloomington, IN 47404 | 2006-10-03 |
| 1629161278 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 523 Park Lane, Nashville, IN 47448 | 2006-10-02 |
| Street Address |
1922 LIMESTONE DRIVE |
| City | ELLETTSVILLE |
| State | IN |
| Zip Code | 47429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306260823 | Sarah Lock | Physical Therapist | 5911 West State Road 46, Ellettsville, IN 47429 | 2014-02-05 |
| 1093085136 | Kayla Mason | Occupational Therapist | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-01-06 |
| 1760539704 | Kenneth Louis Guzik | Chiropractor | 403 W Temperance St, Box 605, Ellettsville, IN 47429 | 2007-01-04 |
| 1669555454 | Stephen Andrew Trager | Dentist | 5915 West State Road 46, Ellettsville, IN 47429 | 2006-10-23 |
| 1164788410 | Danielle Haines | Physical Therapy Assistant | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-04-11 |
| 1982990594 | Steven William Bollinger | Dentist | 5915 W. Highway 46, Ellettsville, IN 47429-0518 | 2011-06-22 |
| 1508968728 | David C Compton | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-01 |
| 1063515914 | Ellettsville Dental Center, Inc. | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-06 |
| 1467660878 | Richland Bean Blossom Community School Corporaton | Local Education Agency (LEA) | 600 Edgewood Dr, Ellettsville, IN 47429-1134 | 2007-05-18 |
| 1851459002 | Area 10 Agency On Aging Rural Transit | Non-emergency Medical Transport (VAN) | 630 Edgewood Dr, Ellettsville, IN 47429-1134 | 2006-12-04 |
| Find all providers in zip 47429 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194811802 | Christole | Intermediate Care Facility, Mentally Retarded | 6630 Rhinestone Drive, Ellettsville, IN 47492 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1710251830 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 213 W. Water St., Centerville, IN 47330 | 2012-03-07 |
| 1871866368 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 1010 Kellam Road, Centerville, IN 47330 | 2012-02-15 |
| 1215237672 | Pathfinder Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2038 Camden Ct, Huntington, IN 46750-3993 | 2010-11-01 |
| 1396050076 | Pathfinder Services Inc | Intermediate Care Facility, Mentally Retarded | 2033 Duncan Dr, Huntington, IN 46750-4501 | 2010-08-18 |
| 1003052184 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16609 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1912143009 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16611 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1649416736 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16613 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1528213360 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 1306 S Bloomington St, Greencastle, IN 46135-2208 | 2008-11-20 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | ELLETTSVILLE |
| Zip Code | 47429 |
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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.