COMMUNITY REHAB SERVICES COUNTY LINE ROAD (NPI# 1407188980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188980 |
| Entity Type | Organization |
| Organization Name | COMMUNITY REHAB SERVICES COUNTY LINE ROAD |
| Practice Address |
1340 E County Line Rd Suite U Indianapolis IN 46227-0874 |
| Practice Telephone | 3174976600 |
| Mailing Telephone | 3174976600 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | MR. THOMAS E. SCHNEFKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3173556341 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
0500050681 | IN | Ambulatory Health Care Facilities |
| Street Address |
1340 E COUNTY LINE RD SUITE U |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245649763 | Jennifer Reynolds | Physical Medicine & Rehabilitation | 1340 E County Line Rd, Indianapolis, IN 46227-0874 | 2014-08-08 |
| 1447554779 | Marlena Ann Gainey | Nurse Practitioner | 1340 E County Line Rd, Suite W, Indianapolis, IN 46227-0874 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538590898 | Verve Health LLC | Clinic/Center | 9050 E 33rd St, Indianapolis, IN 46235-3603 | 2013-12-11 |
| 1811335227 | Eli Lilly and Company Employee Health | Clinic/Center | 893 S Delaware St, Lilly Corporate Center, Indianapolis, IN 46225-1782 | 2013-06-07 |
| 1972834067 | Workplace Health Services | Clinic/Center | 4850 Century Plaza Rd Ste 140, Indianapolis, IN 46254-5478 | 2010-01-29 |
| 1124155833 | Mohci | Clinic/Center | 6900 English Ave, Indianapolis, IN 46219-7416 | 2007-02-28 |
| 1154872810 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 5603 W Raymond St, Suite A-d, Indianapolis, IN 46241-4364 | 2016-10-18 |
| 1083163034 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 4850 Century Plaza Rd, Suite 100, Indianapolis, IN 46254-5476 | 2016-09-30 |
| 1699224642 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 1311 N Shadeland Ave, Indianapolis, IN 46219-3660 | 2016-09-30 |
| 1992135495 | Summit Occupational Medicine LLC | Clinic/Center | 3750 N Meridian St, Ste 300, Indianapolis, IN 46208-4375 | 2013-11-19 |
| 1942635214 | U.S. Healthworks | Clinic/Center | 5603 W Raymond St, Suite A, Indianapolis, IN 46241-4364 | 2013-09-05 |
| 1891017976 | Community Hospitals of Indiana, Inc | Clinic/Center | 1500 N Ritter Ave, Che Occ Health Admin. Bldg. 4, 1st Flr., Indianapolis, IN 46219-3027 | 2010-02-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on COMMUNITY REHAB SERVICES COUNTY LINE ROAD.
| 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.