THE WATERS OF DUNELAND, LLC (NPI# 1881631240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881631240 |
| Entity Type | Organization |
| Organization Name | THE WATERS OF DUNELAND, LLC |
| Practice Address |
110 Beverly Dr Chesterton IN 46304-9368 |
| Practice Telephone | 2199268387 |
| Practice Fax Number | 2199291776 |
| Mailing Telephone | 2199268387 |
| Mailing Fax Number | 2193951510 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MR. MICHAEL BLISKO (COO) |
| Authorized Official Telephone | 7084491900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-000150-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000381420 | 01 |
| IN | ANTHEM OT | 000000476402 | 01 |
| IN | ANTHEM PT | 000000476403 | 01 |
| IN | ANTHEM ST | 000000476404 | 01 |
| IN | 100267000C | 05 | |
| IN | DMERC REGION B SUPPLIER# | 5584660001 | 01 |
| Street Address |
110 BEVERLY DR |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-9368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927032 | Adrian Caguia | Physical Therapist | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2016-04-21 |
| 1871961904 | Hermann Brice Mofang Foudjio | Physical Therapy Assistant | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2015-09-06 |
| 1437534872 | Adams County Memorial Hospital | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2015-07-28 |
| 1972857373 | Holly Anderson Perdulovski | Speech-Language Pathologist | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2012-11-07 |
| 1487914602 | Henry County Memorial Hospital | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2012-05-22 |
| 1912193400 | Robert Morgia | Physical Therapist | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2007-09-19 |
| 1578759056 | Visnja Howard | Occupational Therapist | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2007-09-19 |
| 1083800478 | Linda Ronjak | Occupational Therapist | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2007-09-19 |
| 1881880276 | Pamela Williams | Occupational Therapy Assistant | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2007-09-19 |
| 1780897926 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| 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 |
|---|---|---|---|---|
| 1508222985 | Symphony of Chesterton LLC | Skilled Nursing Facility | 2775 Village Pt, Chesterton, IN 46304-0095 | 2016-01-14 |
| 1437534872 | Adams County Memorial Hospital | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2015-07-28 |
| 1891044137 | Riverview Hospital | Skilled Nursing Facility | 780 Dickinson Rd, Chesterton, IN 46304-3551 | 2012-08-31 |
| 1487914602 | Henry County Memorial Hospital | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 2012-05-22 |
| 1780897926 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 110 Beverly Dr, Chesterton, IN 46304-9368 | 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 | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
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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.