Christole, Inc

LBN: Christole, Inc
Christole, Inc is an health care organization with primary practice located at 1701 Winslow Drive , Bloomington IN 47404. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Christole, Inc can be contacted via phone (812) 336-4711, or through Clemons, Robert B. via phone (812) 988-1257.

Contact Information

Primary practice address
1701 Winslow Drive Bloomington IN 47404
Fax: (812) 336-4781
Website:
Authorized official contact:
Name: Clemons, Robert B.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2510S0011DE05 Indiana

Profile Details

NPI number 1275627036
LBN Legal business name Christole, Inc
DBA Doing business as
Authorized official Clemons, Robert B.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275627036 NPPES
Indiana MEDICAID 2510S0011DE05

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