NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

THE GREEN HOUSE VILLAGE OF GOSHEN
LBN BLUE DIAMOND VILLAS
1510 SANDPIPER LANE
GOSHEN, IN46526
 Phone: 317-653-5767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for THE GREEN HOUSE VILLAGE OF GOSHEN

NPI Number 1952812034
LBN Legal business name BLUE DIAMOND VILLAS
DBA Doing business as THE GREEN HOUSE VILLAGE OF GOSHEN
Authorized official REX HOCHSTEDLER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2017
Last updated 06/16/2018 - More than a year ago
Identifiers
IN Other 0161052010-000 INDIANA DEPARTMENT OF REVENUE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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