HOLY CROSS VILLAGE AT NOTRE DAME, INC. (NPI# 1760425391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760425391 |
| Entity Type | Organization |
| Organization Name | HOLY CROSS VILLAGE AT NOTRE DAME, INC. |
| Practice Address |
54515 State Road 933 Notre Dame IN 46556 |
| Mailing Address |
54515 State Road 933 P.o. Box 706 Notre Dame IN 46556 |
| Practice Telephone | 5742871838 |
| Practice Fax Number | 5742897277 |
| Mailing Telephone | 5742871838 |
| Mailing Fax Number | 5742897277 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | MR. JACK MUELLER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5742871838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-002668-2 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200325990 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | HOLY CROSS VILLAGE AT NOTRE DAME, INC. | 54515 State Road 933 North, Po Box 303, Notre Dame, IN 46556-0303 |
| Street Address |
54515 STATE ROAD 933 |
| City | NOTRE DAME |
| State | IN |
| Zip Code | 46556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1255736849 | Katie Bourbonnais | Specialist/Technologist | Saint Mary's College, Angela Athletic Facility, Notre Dame, IN 46556 | 2014-10-26 |
| 1871882951 | April Lynn Henry | Nurse Practitioner | 19074 Douglas Road, Holy Cross House Clinic, Notre Dame, IN 46556 | 2011-03-29 |
| 1275787418 | Kathryn L Wojcik | Nurse Practitioner | 159 Angela Athletic and Wellness Complex, Notre Dame, IN 46556 | 2008-11-14 |
| 1316072366 | James Michael Moriarity | Neuromusculoskeletal Medicine, Sports Medicine | 1842 Moreau Drive, Notre Dame, IN 46556 | 2007-02-22 |
| 1174550677 | Alicia Marie Roane | Specialist/Technologist | University of Notre Dame, C113 Joyce Center - Sports Medicine, Notre Dame, IN 46556 | 2006-06-28 |
| 1649243817 | Scott Robert Stansbury | Specialist/Technologist, Other | University of Notre Dame Athletics, Sports Medicine Room C113 Joyce Center, Notre Dame, IN 46556 | 2006-02-09 |
| 1497743892 | Anthony Farmer Sutton | Specialist/Technologist | C113 Joyce Center, Sports Medicine, Notre Dame, IN 46556 | 2005-10-10 |
| 1689662496 | Kathryn Marie Cox Cohoon | Family Medicine | St Liam Hall, University Health Services, University of Notre Dame, Notre Dame, IN 46556 | 2005-10-06 |
| 1598232043 | Nicole Gatti | Pharmacist | 100 Wellness Center, Notre Dame, IN 46556 | 2018-11-01 |
| Find all providers in zip 46556 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | NOTRE DAME |
| Zip Code | 46556 |
Please comment or provide details below to improve the information on HOLY CROSS VILLAGE AT NOTRE DAME, 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.