INDIAN HILLS RETIREMENT (NPI# 1487636239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636239 |
| Entity Type | Organization |
| Organization Name | INDIAN HILLS RETIREMENT |
| Practice Address |
2601 Fair St Chillicothe MO 64601-3525 |
| Practice Telephone | 6606461230 |
| Practice Fax Number | 6607071198 |
| Mailing Telephone | 6606461230 |
| Mailing Fax Number | 6607071198 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | MR. TOM OTKE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5736596607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 031645 | MO | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 031645 | MO | Nursing & Custodial Care Facilities |
| Street Address |
2601 FAIR ST |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326294992 | Julie L Dorrell | Physical Therapy Assistant | 2601 Fair St, Chillicothe, MO 64601-3525 | 2008-08-14 |
| 1154588085 | Eldercare of Mid-missouri Ix, Inc. | Skilled Nursing Facility | 2601 Fair St, Chillicothe, MO 64601-3525 | 2008-05-19 |
| 1265607824 | Tammy L Scott | Occupational Therapy Assistant | 2601 Fair St, Chillicothe, MO 64601-3525 | 2008-04-24 |
| 1164694733 | John O K'omoga | Occupational Therapist | 2601 Fair St, Chillicothe, MO 64601-3525 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1063776706 | Marie Elizabeth Mckinley | Counselor | 871 Fairway Drive, Chillicothe, MO 64601 | 2012-06-27 |
| 1528332525 | Brandon Kent Albrecht | Nurse Anesthetist, Certified Registered | 2106 Woodcrest Drive, Chillicothe, MO 64601 | 2012-03-08 |
| 1356651707 | Kimberly Marie Rice | Hearing Instrument Specialist | 614 Washington St., Suite 101, Chillicothe, MO 64601 | 2010-10-19 |
| 1457551483 | Mccoy Samples Mattingly Dental Clinic | Dentist | 850 Fairway Dr, Chillicothe, MO 64601 | 2007-07-18 |
| 1134328909 | Katherine Gibson | Speech-Language Pathologist | 1020 Old Highway 36 West, Chillicothe, MO 64601 | 2007-07-12 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1275671042 | Floyd Jerome Davis | Chiropractor | 701 Locust Street, Chillicothe, MO 64601 | 2007-02-02 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| Find all providers in zip 64601 | ||||
| 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 |
|---|---|---|---|---|
| 1790199347 | Vivian Schaefer | Skilled Nursing Facility | 638 England Hollow Rd, Chillicothe, OH 45601-8107 | 2014-06-11 |
| 1578726741 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 60 Marietta Rd, Chillicothe, OH 45601-9433 | 2008-07-08 |
| 1740385228 | Livingston Manor Inc | Skilled Nursing Facility | 939 E Birch Dr, Chillicothe, MO 64601-2189 | 2006-09-13 |
| 1689614430 | Heartland of Chillicothe Oh LLC | Skilled Nursing Facility | 1058 Columbus St, Chillicothe, OH 45601-2810 | 2006-06-08 |
| 1457335937 | Chillicothe Long Term Care, Inc | Skilled Nursing Facility | 230 Cherry St, Chillicothe, OH 45601-2301 | 2005-11-30 |
| 1124014436 | N & R of Chillicothe, Inc. | Skilled Nursing Facility | 118 Trenton Rd, Chillicothe, MO 64601-4002 | 2005-09-22 |
| 1417470527 | Westmoreland At Carecore LLC | Skilled Nursing Facility | 230 Cherry St, Chillicothe, OH 45601-2301 | 2017-07-20 |
| 1285049403 | Lp Chillicothe, LLC | Skilled Nursing Facility | 60 Marietta Rd, Chillicothe, OH 45601-9433 | 2014-06-26 |
| 1801137070 | Chillicothe Opco, LLC | Skilled Nursing Facility | 60 Marietta Rd, Chillicothe, OH 45601-9433 | 2013-03-12 |
| 1154588085 | Eldercare of Mid-missouri Ix, Inc. | Skilled Nursing Facility | 2601 Fair St, Chillicothe, MO 64601-3525 | 2008-05-19 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
Please comment or provide details below to improve the information on INDIAN HILLS RETIREMENT.
| 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.