The Waters Of Scottsburg, Llc
LBN: The Waters Of Scottsburg, Llc
The Waters Of Scottsburg, Llc is an health care organization with primary practice located at 1350 N. Todd Drive , Scottsburg IN 47170-7755. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
The Waters Of Scottsburg, Llc can be contacted via phone (812) 752-5663, or through Kemper, Jerry V. via phone (317) 598-9496.
Contact Information
Primary practice address
1350 N. Todd Drive
Scottsburg IN 47170-7755
Phone: (812) 752-5663
Fax: (812) 752-9853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 08-000478-1 | Indiana |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 060004783 | Indiana |
Profile Details
| NPI number | 1851454573 |
|---|---|
| LBN Legal business name | The Waters Of Scottsburg, Llc |
| DBA Doing business as | |
| Authorized official | Kemper, Jerry V. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 23rd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851454573 | NPPES |
| Indiana | MEDICAID | 100290430 | |
| Indiana | MEDICAID | 100290430E |
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