NPI:
1801963053
Provider Name:
HOOSIER ENTERPRISES II, INC.
Doing Business As: ESPECIALLY KIDZ HEALTH & REHAB CENTER
Classification:
Skilled Nursing Facility - 3140N1450X
Entity Type:
Organization
Specialization: Nursing Care, Pediatric
CLIA Number: 15D0647138
Address:
2325 S MILLER ST
SHELBYVILLE, IN
ZIP 46176
Phone:
(317) 392-3287
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HOOSIER ENTERPRISES II, INC. is a nursing care and pediatric skilled nursing facility in Shelbyville, IN. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. HOOSIER ENTERPRISES II, INC. NPI is 1801963053. The provider is registered as an organization entity type.
The provider Is Doing Business As Especially Kidz Health & Rehab Center.
The provider's business location address is:
2325 S MILLER ST
SHELBYVILLE, IN
ZIP 46176-350
Phone: (317) 392-3287
Fax: (317) 398-9707
The provider's authorized official is Raymond Ingham .
The authorized official title is President, Ceo and has the following contact phone number (765) 485-8100.
The CLIA number assigned to this NPI record is 15D0647138 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/23/2012.