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WOODLAWN HOSPITAL NPI 1285723734


NPI Information

NPI: 1285723734
Provider Name: WOODLAWN HOSPITAL

Doing Business As: GRACE VILLAGE HEALTH CARE FACILITY

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
337 GRACE VILLAGE DR
WINONA LAKE, IN
ZIP 46590
Phone: (574) 372-6200
Get Directions

WOODLAWN HOSPITAL is a nursing facility intermediate care facility in Winona Lake, IN. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. WOODLAWN HOSPITAL NPI is 1285723734. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Village Health Care Facility.

The provider's business location address is:

337 GRACE VILLAGE DR
WINONA LAKE, IN
ZIP 46590-774
Phone: (574) 372-6200
Fax: (574) 372-6386

The provider's authorized official is John Alley .
The authorized official title is President/ceo and has the following contact phone number (574) 223-3141.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility060005011INDIANANo
2314000000XSkilled Nursing Facility060005011INDIANANo
3313M00000XNursing Facility/Intermediate Care Facility060005011INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100266260AMEDICAIDINDIANA
2000000097895OTHERINDIANAANTHEM PIN NUMBER
3155635MEDICARE ID-TYPE UNSPECIFIEDINDIANAPROVIDER NUMBER
42297OTHERINDIANARBA HOME NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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