THE WATERS OF HUNTINGBURG, LLC (NPI# 1306884994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306884994 |
| Entity Type | Organization |
| Organization Name | THE WATERS OF HUNTINGBURG, LLC |
| Practice Address |
1712 N Leland Dr Huntingburg IN 47542-9348 |
| Practice Telephone | 8126834090 |
| Practice Fax Number | 8126832305 |
| Mailing Telephone | 8126834090 |
| Mailing Fax Number | 8126832305 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MR. MICHAEL BLISKO (COO) |
| Authorized Official Telephone | 7084491900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-000122-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000381425 | 01 |
| IN | ANTHEM OT | 000000391200 | 01 |
| IN | DMERC REGION B SUPPLIER# | 5586190001 | 01 |
| IN | ANTHEM PT | 000000391202 | 01 |
| IN | ANTHEM ST | 000000391203 | 01 |
| IN | 100290560C | 05 |
| Street Address |
1712 N LELAND DR |
| City | HUNTINGBURG |
| State | IN |
| Zip Code | 47542-9348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997611 | Beth Irene Hentrup | Occupational Therapist | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2019-11-22 |
| 1902464811 | Elizabeth Dellinger | Physical Therapist | 1712 N Leland Dr, Huntingburg, IN 47542 | 2019-06-05 |
| 1154675486 | Brandy Knepp | Physical Therapy Assistant | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2012-11-08 |
| 1699025049 | Leah Ann Matsel | Physical Therapist | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2012-09-13 |
| 1538416532 | Morgan Erny | Occupational Therapist | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2012-08-08 |
| 1770844219 | Dearborn County Hospital | Skilled Nursing Facility | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2012-05-31 |
| 1275834764 | Anthony Jay Hautman | Occupational Therapist | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2010-11-15 |
| 1750602975 | Diana Lynn Schwinghamer | Occupational Therapy Assistant | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2010-06-22 |
| 1881912384 | Janelel Louise Knies | Speech-Language Pathologist | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2010-05-07 |
| 1851618730 | Teresa Lynne Schitter | Physical Therapy Assistant | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155356 | Jill Meiring | Chiropractor | 501 East 6th Street, Huntingburg, IN 47542 | 2014-04-16 |
| 1932410818 | Amy D Osborne | Physical Therapy Assistant | 1712 Leland Dr, The Waters of Huntinburg, Huntingburg, IN 47542 | 2010-06-25 |
| 1801053509 | Christian H Kelly | Dentist | 1690 N Main Street, Huntingburg, IN 47542 | 2008-05-20 |
| 1114120128 | Little Company of Mary Hospital of Indiana, Inc. | Family Medicine | 507 E 19th Street, Huntingburg, IN 47542 | 2007-06-07 |
| 1932228442 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 407 12th St, Huntingburg, IN 47542 | 2007-03-28 |
| 1588772644 | Harry Louis Switzer | Dentist | 517 East 5th Street, Huntingburg, IN 47542 | 2006-08-29 |
| 1700437704 | Christina Oster | Technician | 312 North Washington Street, Huntingburg, IN 47542 | 2019-09-23 |
| 1457620783 | Kelly Family Dentistry, PC | Dentist | 1690 N Main Street, Huntingburg, IN 47542 | 2011-12-15 |
| 1235478587 | Shannon Elisa Wood | Dentist | 517 E 5th St, Huntingburg, IN 47542-1004 | 2013-02-06 |
| 1417310566 | Huntingburg Family Dentistry | Clinic/Center | 517 E 5th St, Huntingburg, IN 47542-1004 | 2016-04-05 |
| Find all providers in zip 47542 | ||||
| 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 |
|---|---|---|---|---|
| 1770844219 | Dearborn County Hospital | Skilled Nursing Facility | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2012-05-31 |
| 1659584803 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2007-05-07 |
| 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 | HUNTINGBURG |
| Zip Code | 47542 |
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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.