The Waters Of Duneland, Llc

LBN: The Waters Of Duneland, Llc
The Waters Of Duneland, Llc is an health care organization with primary practice located at 110 Beverly Dr , Chesterton IN 46304-9368. 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. The Waters Of Duneland, Llc can be contacted via phone (219) 926-8387, or through Blisko, Michael via phone (708) 449-1900.

Contact Information

Primary practice address
110 Beverly Dr Chesterton IN 46304-9368
Phone: (219) 926-8387
Fax: (219) 929-1776
Website:
Map and Directions
Authorized official contact:
Name: Blisko, Michael
Phone: (708) 449-1900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05-000150-1 Indiana

Profile Details

NPI number 1881631240
LBN Legal business name The Waters Of Duneland, Llc
DBA Doing business as
Authorized official Blisko, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 19th, 2014 - about 10 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 1881631240 NPPES
Indiana Other 000000476402 ANTHEM OT
Indiana Other 000000381420 ANTHEM OT
Indiana Other 000000476404 ANTHEM OT
Indiana Other 000000476403 ANTHEM OT
Indiana Other 5584660001 ANTHEM OT
Indiana MEDICAID 100267000C ANTHEM OT

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