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MCCARROLL MANAGEMENT CORPORATION, Nursing and Custodial Care Facilities / 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.

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MCCARROLL MANAGEMENT CORPORATION

NPI Number 1609871292
State Identifier(s) Indiana Other ID #000000097937
Indiana Other ID #=========
Indiana Medicare ID #155389
Indiana Medicaid #100290410B
Indiana Medicare NSC #1063810001
Group Name MCCARROLL MANAGEMENT CORPORATION
Doing business as WESTPARK HEALTHCARE CENTER
Credentials - Lic #:050004731 (Indiana)
Mailing Address Confidential
Business Address 1316 N TIBBS AVE
INDIANAPOLIS, IN 46222-3024

Phone (317) 634-8330 Fax (317) 263-9442
Name DAVID L MCCARROLL - (PRESIDENT)
Primary Specialty Nursing and Custodial Care Facilities / Nursing Facility/Intermediate Care Facility
Additional Specialties
Last Modified 10/30/2012
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