Waterford Crossing

LBN: Hancock Regional Hospital
Waterford Crossing is an health care organization with primary practice located at 1332 Waterford Cir , Goshen IN 46526-6009. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hancock Regional Hospital can be contacted via phone (574) 534-3920, or through Long, Steven V. via phone (317) 462-5544.

Contact Information

Primary practice address
1332 Waterford Cir Goshen IN 46526-6009
Phone: (574) 534-3920
Fax: (574) 534-7548
Website:
Map and Directions
Authorized official contact:
Name: Long, Steven V.
Phone: (317) 462-5544

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 17-011150-1 Indiana

Profile Details

NPI number 1417991415
LBN Legal business name Hancock Regional Hospital
DBA Doing business as Waterford Crossing
Authorized official Long, Steven V.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 21st, 2022 - about 2 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 1417991415 NPPES
Indiana MEDICAID 200831020A
Indiana MEDICAID 200831020

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