Hickory Creek At Gaston

LBN: Hickory Creek Healthcare Foundation, Inc.
Hickory Creek At Gaston is an health care organization with primary practice located at 502 N. Madison St , Gaston IN 47342-0159. 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. Hickory Creek Healthcare Foundation, Inc. can be contacted via phone (765) 358-3324, or through Waymire, Gary Brent via phone (317) 570-0266.

Contact Information

Primary practice address
502 N. Madison St Gaston IN 47342-0159
Phone: (765) 358-3324
Fax: (765) 358-4365
Website:
Map and Directions
Authorized official contact:
Name: Waymire, Gary Brent
Phone: (317) 570-0266

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 05-000614-1 Indiana

Profile Details

NPI number 1265463665
LBN Legal business name Hickory Creek Healthcare Foundation, Inc.
DBA Doing business as Hickory Creek At Gaston
Authorized official Waymire, Gary Brent
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 5th, 2006
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265463665 NPPES
Indiana MEDICAID 100272120

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