INDIANA HEALTH AND REHABILITATION CENTERS (NPI# 1386700755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386700755 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH AND REHABILITATION CENTERS |
| Other Organization Name | CANTERBURY GARDENS |
| Practice Address |
2827 Northgate Blvd Fort Wayne IN 46835-2903 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 2604921400 |
| Practice Fax Number | 2604921699 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE) |
| Authorized Official Telephone | 4149088119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Canterbury Gardens | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902978869 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 900 Anson St, Salem, IN 47167-1982 | 2006-11-15 |
| 1669544516 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614-2243 | 2006-11-15 |
| 1003988700 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 25 S Boehne Camp Rd, Evansville, IN 47712-3101 | 2006-11-15 |
| 1053483818 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620-9301 | 2006-11-15 |
| 1457468894 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835-2903 | 2006-08-23 |
| 1083786776 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 712 W 2nd St, Leavenworth, IN 47137-2264 | 2006-11-15 |
| Street Address |
2827 NORTHGATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468894 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835-2903 | 2006-08-23 |
| 1225422918 | Brianna Miller | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2015-03-20 |
| 1245620897 | Vander Fields | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2015-02-03 |
| 1407264559 | Christi Wiard | Physical Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-07-31 |
| 1013329341 | Caleb Oren | Occupational Therapist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-05-21 |
| 1104236108 | Ryan Diederich | Physical Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-04-30 |
| 1427470848 | Katie Ford | Occupational Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-01-21 |
| 1134476724 | Rachel Marie Kline | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2012-08-14 |
| 1881940617 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835 | 2012-07-30 |
| 1568793248 | Jenny Sue Eversman | Specialist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
| 1194358119 | Ev Fw Limited Partnership | Assisted Living Facility | 12523 Auburn Rd, Fort Wayne, IN 46845-8797 | 2020-02-18 |
| 1073006938 | Fort Wayne Aal Lp | Assisted Living Facility | 7125 S Hanna Street, Fort Wayne, IN 46816 | 2018-06-14 |
| 1801205240 | Pulaski Memorial Hospital | Assisted Living Facility | 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061 | 2014-08-11 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1063701886 | Lamplight Inn of Fort Wayne, LLC | Assisted Living Facility | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2011-04-01 |
| 1396034237 | Park Place Senior Living, LLC | Assisted Living Facility | 4411 Park Place Dr, Fort Wayne, IN 46845-8793 | 2011-03-31 |
| 1225212475 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 7833 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2007-12-24 |
| 1093900672 | Assisted Living Concepts Inc | Assisted Living Facility | 2116 Butler Road, Fort Wayne, IN 47150 | 2007-09-07 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
Please comment or provide details below to improve the information on INDIANA HEALTH AND REHABILITATION CENTERS.
| 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.