GOSPORT CARE, INC. (NPI# 1750585766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750585766 |
| Entity Type | Organization |
| Organization Name | GOSPORT CARE, INC. |
| Other Organization Name | GOSPORT NURSING HOME |
| Practice Address |
27 S. 7th St. Gosport IN 47433-0099 |
| Mailing Address |
Po Box 99 Gosport IN 47433-0099 |
| Practice Telephone | 8128794242 |
| Practice Fax Number | 8128794633 |
| Mailing Telephone | 8128794242 |
| Mailing Fax Number | 8128794633 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. FRED J PONTON (OWNER,ADMINISTRATOR) |
| Authorized Official Telephone | 8128794242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 06000409-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 15E281 | 05 |
| Other Name | Type Code |
|---|---|
| Gosport Nursing Home | Doing Business As Name - Organization |
| Street Address |
27 S. 7TH ST. |
| City | GOSPORT |
| State | IN |
| Zip Code | 47433-0099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851379382 | Peggy Ann Walters | Nurse Practitioner | 7 E Main St, Gosport, IN 47433 | 2006-01-05 |
| 1033216411 | Barbara A. Lamere-heck | Dentist | 10 East Main Street, Gosport, IN 47433-0189 | 2006-09-20 |
| 1194801233 | Julie D. Surber | Dental Hygienist | 10 E. Main St., Gosport, IN 47433-0189 | 2006-10-31 |
| 1407207079 | Sarah Truax | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2016-06-24 |
| 1245586718 | Sonya Kay Ruedlinger | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2012-08-02 |
| 1619245909 | Cynthia L Colglazier | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2011-12-01 |
| 1003074972 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 7 E Main St, Gosport, IN 47433-7034 | 2008-05-28 |
| 1508062100 | Meredith Lulich | Internal Medicine | 7 E Main St, Gosport, IN 47433-7034 | 2007-06-21 |
| 1811949175 | John Stearley | Family Medicine | 7 E Main St, Gosport, IN 47433-7034 | 2006-05-16 |
| 1659902013 | Southern Indiana Mobile Therapy Services | Physical Therapist | 5587 Limestone Creek Rd, Gosport, IN 47433-7950 | 2020-02-03 |
| Find all providers in zip 47433 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1720253313 | Davis Elderly Care, LLC | Nursing Facility/Intermediate Care Facility | 5139 S Hanover Saluda Rd, Hanover, IN 47243-9212 | 2008-04-24 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| 1982729604 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 6996 S Us 421, Versailles, IN 47042-9390 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOSPORT CARE, INC..
| 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.