THE WATERS OF PRINCETON, LLC


Address: 1020 W Vine St, Princeton, IN 47670-1164
Phone: 8123855238

THE WATERS OF PRINCETON, LLC (NPI# 1871531459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871531459
Entity Type Organization
Organization Name THE WATERS OF PRINCETON, LLC
Practice Address 1020 W Vine St
Princeton
IN 47670-1164
Practice Telephone 8123855238
Practice Fax Number 8123867471
Mailing Telephone 8123855238
Mailing Fax Number 8123867471
Enumeration Date 2006-06-03
Last Update Date 2012-05-17
Authorized Official Name MR. MICHAEL BLISKO (CEO)
Authorized Official Telephone 7084491900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 05-000175-1 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM ST 000000476417 01
IN ANTHEM PT 000000476418 01
IN ANTHEM BCBS 000000381545 01
IN 100274440C 05
IN ANTHEM OT 000000476419 01

Office Location

Street Address 1020 W VINE ST
City PRINCETON
State IN
Zip Code 47670-1164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972155844 Megan Lynne Cravens Occupational Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1199 2019-07-11
1619212982 Carol Storckman Physical Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2012-11-28
1205171584 Natalie Marie Keil Occupational Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2012-11-28
1336484666 Ashley Brooke Stoelb Occupational Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2012-11-27
1851645782 Krystal Dawn Campbell Occupational Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2012-10-30
1164782942 Putnam County Hospital Skilled Nursing Facility 1020 W Vine St, Princeton, IN 47670-1164 2012-05-25
1336452002 Ellen Chambliss Physical Therapist 1020 W Vine St, Princeton, IN 47670-1164 2010-07-22
1396939344 Amanda Montell Brashear Physical Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2007-09-04
1700083714 Andrea Nichole Robling Occupational Therapy Assistant 1020 W Vine St, Princeton, IN 47670-1164 2007-07-02
1760695910 Healthcare Centers of Indiana, LLC Skilled Nursing Facility 1020 W Vine St, Princeton, IN 47670-1164 2007-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102384 Chad Holzmeyer Pharmacist 101 W Brumfield Ave., Princeton, IN 47670 2020-07-30
1497383046 Jessy Roy Emmett Hearing Instrument Specialist 205 West State Street, Suite 1, Princeton, IN 47670 2020-03-30
1033643010 Deaconess Hospital, Inc Durable Medical Equipment & Medical Supplies 1416 W. Broadway St, Princeton, IN 47670 2017-04-17
1558782383 Jon O'keefe Marriage & Family Therapist 304 North 5th Avenue, Princeton, IN 47670 2013-12-20
1376828616 Andrea Catherine Kohlmeyer Dietitian, Registered 2340 E 350 S, Princeton, IN 47670 2011-10-19
1710192802 Sarah Ellen Anderson Pharmacy Technician 2005 W Broadway, Princeton, IN 47670 2007-05-11
1760602296 Buehlers Buy Low Pharmacy Pharmacy Technician 2005 W. Broadway, Princeton, IN 47670 2007-04-26
1114066511 Jon Robb Pharmacist 4924 S Maple Tree Drive, Princeton, IN 47670 2007-02-05
1558464172 M S Krishna Pediatrics 312 North 3rd Ave, Princeton, IN 47670 2006-09-07
1255353967 Gibson County Auditor Ambulance 225 N Hart Street, Princeton, IN 47670 2006-07-24
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205478286 Foursquare Texas 16 LLC Skilled Nursing Facility 1401 W. Princeton Dr., Princeton, TX 75407 2019-10-11
1467878512 Genesis Health Care Skilled Nursing Facility 11524 Dawson Road, Princeton, KY 42445 2014-03-13
1184756173 Colonial Nursing and Rehabilitation Center Skilled Nursing Facility 515 S Bureau Valley Pkwy, Princeton, IL 61356-2203 2007-03-12
1073688222 Princeton Nursing Home &rehabilitation Center Inc. Skilled Nursing Facility 728 Bunn Dr, Princeton, NJ 08540-1963 2006-11-22
1467564047 Good Samaritan Hospital Skilled Nursing Facility 1244 Vail St, Princeton, IN 47670-9513 2006-08-31
1790712206 Sunnyview Health Care Center Inc. Skilled Nursing Facility 900 Sunnyview Ln, Princeton, WI 54968-9262 2006-06-28
1083692420 Residential Alternatives of Illinois Inc Skilled Nursing Facility 140 N 6th St, Princeton, IL 61356-1878 2006-01-05
1043291255 Pearl's II Eden for Elders LLC Skilled Nursing Facility 611 N College Ave, Princeton, MO 64673-1051 2005-11-07
1205824646 Glenwood Park, Inc. Skilled Nursing Facility 1924 Glenwood Park Rd, Princeton, WV 24740-7969 2005-10-10
1881682680 Elim Homes, Inc. Skilled Nursing Facility 701 1st St, Princeton, MN 55371-1713 2005-10-06
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Competitor

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City PRINCETON
Zip Code 47670

Improve Information

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Dataset Information

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.

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