Colonial Nursing Home
LBN: Adams County Memorial Hospital
Colonial Nursing Home is an health care organization with primary practice located at 119 N Indiana Ave , Crown Point IN 46307-4112. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Adams County Memorial Hospital can be contacted via phone (219) 663-2532, or through Wheeler, Dane via phone (260) 724-2145.
Contact Information
Primary practice address
119 N Indiana Ave
Crown Point IN 46307-4112
Phone: (219) 663-2532
Fax: (219) 662-0714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 060003601 | Indiana |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 060003601 | Indiana |
Profile Details
| NPI number | 1407959059 |
|---|---|
| LBN Legal business name | Adams County Memorial Hospital |
| DBA Doing business as | Colonial Nursing Home |
| Authorized official | Wheeler, Dane CPA |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | May 8th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407959059 | NPPES |
| Indiana | MEDICAID | 100290370B |
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