MAJOR HOSPITAL (NPI# 1730120213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730120213 |
| Entity Type | Organization |
| Organization Name | MAJOR HOSPITAL |
| Other Organization Name | THE WATERS OF DILLSBORO-ROSS MANOR |
| Practice Address |
12803 Lenover St Dillsboro IN 47018-9418 |
| Mailing Address |
240 Fencl Lane Hillside IL 60162-2067 |
| Practice Telephone | 8124325226 |
| Practice Fax Number | 8124323311 |
| Mailing Telephone | 7084491900 |
| Mailing Fax Number | 7084491500 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | JOHN HORNER (PRESIDENT & CEO) |
| Authorized Official Telephone | 3173985255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 05-000178-1 | IN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000383032 | 01 |
| IN | 100273840C | 05 | |
| IN | ANTHEM BCBS PT OUTPATIENT | 000000385603 | 01 |
| IN | ANTHEM BCBS ST OUTPATIENT | 000000385605 | 01 |
| IN | ANTHEM BCBS OT OUTPATIENT | 000000385604 | 01 |
| Other Name | Type Code |
|---|---|
| The Waters of Dillsboro-Ross Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1164885372 | Major Hospital | Skilled Nursing Facility | 5805 N. Fir Rd., Granger, IN 46530-4750 | 2016-04-04 |
| 1700256492 | Major Hospital | Skilled Nursing Facility | 616 Green House Way, Carmel, IN 46032 | 2015-10-07 |
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1568735694 | Major Hospital | Skilled Nursing Facility | 614 W 14th Street, Marion, IN 46953-2158 | 2012-02-21 |
| 1316169857 | Major Hospital | Skilled Nursing Facility | 140 West Washington St, Morgantown, IN 46160 | 2007-05-03 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| 1316063977 | Major Hospital | Skilled Nursing Facility | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2007-03-22 |
| 1588708325 | Major Hospital | Skilled Nursing Facility | 313 Poplar St, Loogootee, IN 47553-2423 | 2007-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAJOR HOSPITAL | 2451 Intelliplex Dr, Shelbyville, IN 46176-8580 |
| Street Address |
12803 LENOVER ST |
| City | DILLSBORO |
| State | IN |
| Zip Code | 47018-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944997 | Laura B Sefton | Physical Therapist | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2019-04-14 |
| 1861962938 | Rachel K Zimmerman | Physical Therapist | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2018-11-30 |
| 1275051922 | Madison Oesterling | Physical Therapy Assistant | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2017-09-01 |
| 1396080545 | Crystal Lynn Stephen | Occupational Therapist | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2012-11-28 |
| 1396089876 | Amy L Baldwin | Occupational Therapy Assistant | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2012-11-21 |
| 1598009771 | Jason Eric Wylie | Occupational Therapy Assistant | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2012-11-12 |
| 1619211810 | Amber N Lang | Physical Therapy Assistant | 12803 Lenover St, Dillsboro, IN 47018-9418 | 2012-11-12 |
| 1225241474 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 12803 Lenover St, Dillsboro, IN 47018-0037 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699086066 | Suzette Alene Mathes | Occupational Therapy Assistant | 12083 Lenover St, Dillsboro, IN 47018 | 2010-06-30 |
| 1497066872 | Mayank Jain | Physical Therapist | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-06-30 |
| 1891832911 | Anne Catherine Brown | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018 | 2007-01-30 |
| 1912053067 | Randall P Leduc | Internal Medicine | 12930 North Street, Dillsboro, IN 47018 | 2007-01-25 |
| 1710090287 | Dillsboro Emergency Ambulance Unit, Inc. | Ambulance | 13036 North St., Dillsboro, IN 47018 | 2006-08-17 |
| 1720322514 | Brian White | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2012-11-16 |
| 1356654727 | Christopher Alvin Wilhelm | Physical Therapy Assistant | 12803 Lenover Street, The Waters of Dillsboro-ross, Dillsboro, IN 47018 | 2010-07-14 |
| 1265743629 | Abhilekh Thakur | Physical Therapist | 12803 Lenover Street, Dillsboro, IN 47018 | 2010-06-30 |
| 1659463610 | Camille Deville Boyken | Pharmacist | 12836 North St, Dillsboro, IN 47018 | 2006-09-28 |
| 1942429352 | Randall P Leduc, Md, PC | Family Medicine | 12827 Lenover St, Dillsboro, IN 47018-0095 | 2007-04-24 |
| Find all providers in zip 47018 | ||||
| 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 |
|---|---|---|---|---|
| 1225241474 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 12803 Lenover St, Dillsboro, IN 47018-0037 | 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 | ||||
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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.