MIKA RIDDLE (NPI# 1366974404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366974404 |
| Entity Type | Individual |
| Full Name | MIKA RIDDLE |
| Practice Address |
407 W Walnut St Van Buren IN 46991 |
| Mailing Address |
407 W Walnut St Van Buren IN 46991-7053 |
| Practice Telephone | 7656674950 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 32003091A | IN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780935 | Mika Danette Riddle | Peer Specialist | 447254 E 240 Rd, Afton, OK 74331-8096 | 2020-08-11 |
| Street Address |
407 W WALNUT ST |
| City | VAN BUREN |
| State | IN |
| Zip Code | 46991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508274804 | Erin O'connor | Specialist/Technologist | 6227 N 600 E, Van Buren, IN 46991-9726 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1376182618 | Christina Fontaine | Occupational Therapy Assistant | 402 Cedar Creek Dr, Van Buren, AR 72956-6518 | 2020-01-03 |
| 1528624046 | Sarah Nunnery | Physical Therapy Assistant | 222 Rena Valley Way Apt 15, Van Buren, AR 72956-6628 | 2019-05-10 |
| 1013570274 | Independence At Home Homecare, LLC | Case Management | 2329 Zion Rd, Van Buren, AR 72956-8806 | 2019-04-15 |
| 1669933370 | Sandra Elaine Odom | Nurse Practitioner | 220 N 19th St, Van Buren, AR 72956-4710 | 2019-03-26 |
| 1225592967 | Ronald A Lewis | Case Manager/Care Coordinator | 3521 Marshall Cir, Van Buren, AR 72956-8846 | 2019-01-28 |
| Find all providers in VAN BUREN | ||||
| 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 |
|---|---|---|---|---|
| 1295914802 | Wonder Boys Properties of Arkansas, LLC | Skilled Nursing Facility | 1404 N 28th St, Van Buren, AR 72956-2931 | 2007-10-31 |
| 1023103918 | Brownwood Manor, Inc. | Skilled Nursing Facility | 1401 N. 28th, Van Buren, AR 72956 | 2006-10-04 |
| 1922016872 | Victoria Healthcare Properties LLC | Skilled Nursing Facility | 2010 Main, Van Buren, AR 72956-4957 | 2006-08-04 |
| 1881626836 | Van Buren No1 Inc | Skilled Nursing Facility | 403 Watercress Road, Van Buren, MO 63965-0969 | 2006-07-07 |
| 1790730075 | Beverly Enterprises - Arkansas, Inc. | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2006-05-24 |
| 1821571795 | Ltc of Van Buren, LLC | Skilled Nursing Facility | 2010 Main St, Van Buren, AR 72956-4957 | 2018-09-07 |
| 1245604073 | Crawford Progressive Eldercare Services Inc | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2015-11-17 |
| 1740608843 | Highlands of Van Buren, LLC | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2014-04-04 |
| 1902040728 | Pointer Trail Health and Rehabilitation, LLC | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2009-04-23 |
| 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 |
| 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 |
| 1598119968 | Harrison County Hospital | Skilled Nursing Facility | 702 N Sawyer Rd, Kendallville, IN 46755-2532 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
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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.