NELLIS ADULT DAYCARE LLC (NPI# 1164720371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164720371 |
| Entity Type | Organization |
| Organization Name | NELLIS ADULT DAYCARE LLC |
| Practice Address |
1902 Virginia Ave Connersville IN 47331-2834 |
| Practice Telephone | 7656920260 |
| Practice Fax Number | 7656920261 |
| Mailing Telephone | 7656920260 |
| Mailing Fax Number | 7656920261 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | MRS. SUZANNE CAROL ELLIS (EXECTUTIVE DIRECTOR) |
| Authorized Official Telephone | 7656920260 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 201008180A | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201008180A | 05 |
| Street Address |
1902 VIRGINIA AVE |
| City | CONNERSVILLE |
| State | IN |
| Zip Code | 47331-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275062630 | Williams Creek Health Center | Chiropractor | 685 S Co Rd 350 W, Connersville, IN 47331 | 2017-06-08 |
| 1801275201 | Americas Best Foot and Ankle Specialists | Podiatrist | 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 | 2015-05-19 |
| 1508027269 | Kevin Andrew Yaryan | Optometrist | 522 N Eastern Ave, Connersville, IN 47331 | 2008-06-24 |
| 1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
| 1316024904 | Mark Milton Wynn | Chiropractor | 208 W 20th St, Connersville, IN 47331 | 2006-11-01 |
| 1356368104 | Fayette County Government | Clinic/Center | 401 Central Ave, Connersville, IN 47331 | 2006-07-17 |
| 1760437818 | Karl Phillip Greene | Optometrist | 2045 Virginia Avenue, Connersville, IN 47331 | 2006-05-24 |
| 1225098825 | Fayette Memorial Hospital Assoc Inc | Clinic/Center | 3542 N Western Ave, Connersville, IN 47331 | 2006-03-27 |
| 1437118973 | Jereme Shawn Pflum | Chiropractor | 685 S. C.r. 350 W, Connersville, IN 47331 | 2006-03-22 |
| 1649279258 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 281 S County Road 200 E, Connersville, IN 47331 | 2005-07-15 |
| Find all providers in zip 47331 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1285961722 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 4730 E State Blvd, Fort Wayne, IN 46815-6975 | 2009-11-04 |
| 1336475300 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2009-10-27 |
| 1144341629 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2007-04-03 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1316016330 | Owens Nursinghome for Alzheimers | Alzheimer Center (Dementia Center) | 115fischer Street, Avilla, IN 46710-9303 | 2006-11-06 |
| 1104831718 | Columbus Regional Hospital | Alzheimer Center (Dementia Center) | 2111 Norton Ln, Bedford, IN 47421-4522 | 2006-07-30 |
| 1508253378 | Oasis Dementia Care, Inc. | Alzheimer Center (Dementia Center) | 4301 Washington Ave, Evansville, IN 47714-0678 | 2015-04-20 |
| 1548275134 | Columbus Regional Hospital | Alzheimer Center (Dementia Center) | 1100 S Curry Pike, Bloomington, IN 47403-2629 | 2006-07-30 |
| City | CONNERSVILLE |
| Zip Code | 47331 |
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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.