Gosport Nursing Home

LBN: Gosport Care, Inc.
Gosport Nursing Home is an health care organization with primary practice located at 27 S. 7Th St. , Gosport IN 47433-0099. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Gosport Care, Inc. can be contacted via phone (812) 879-4242, or through Ponton, Fred J via phone (812) 879-4242.

Contact Information

Primary practice address
27 S. 7Th St. Gosport IN 47433-0099
Phone: (812) 879-4242
Fax: (812) 879-4633
Website:
Map and Directions
Authorized official contact:
Name: Ponton, Fred J
Phone: (812) 879-4242

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 06000409-1 Indiana

Profile Details

NPI number 1750585766
LBN Legal business name Gosport Care, Inc.
DBA Doing business as Gosport Nursing Home
Authorized official Ponton, Fred J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated May 29th, 2008 - about 16 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 1750585766 NPPES
Indiana MEDICAID 15E281

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