HEATHER CARROLL COTA NPI 1346649688

NPI Information

NPI: 1346649688
Provider Name: HEATHER CARROLL, COTA
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Individual

Specialization: Assisted Living, Mental Illness

Address:
430 E CLEVELAND RD
GRANGER, IN
ZIP 46530
Phone: (574) 271-3305
Get Directions

Heather Carroll, COTA is an assisted living and mental illness assisted living facility in Granger, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. Heather Carroll, COTA NPI is 1346649688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

430 E CLEVELAND RD
GRANGER, IN
ZIP 46530-624
Phone: (574) 271-3305

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			Yes

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
1	32001597A	OTHER	INDIANA	COTA

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

NPI Synchronization or Removal

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