CHRISTOLE, INC
NPI 1114013752
Intermediate Care Facility, Intellectual Disabilities in Bloomington, IN

Active since October 04, 2006
2727 N DUNN, BLOOMINGTON, IN 47408(812) 323-9973(812) 323-9962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About CHRISTOLE, INC

This page provides the complete NPI Profile along with additional information for Christole, Inc, a provider established in Bloomington, Indiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1114013752 assigned on October 2006. The practitioner's primary taxonomy code is 315P00000X with license number 2510S0010JN06 (IN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Robert B. Clemons (Ceo)

NPI
1114013752 Verify this NPI
Provider Name
CHRISTOLE, INC
Entity Type
Organization
Location Address
2727 N DUNN BLOOMINGTON, IN 47408
Location Phone
(812) 323-9973
Location Fax
(812) 323-9962
Mailing Address
200 HAWTHORNE NASHVILLE, IN 47448
Mailing Phone
(812) 988-1257
Mailing Fax
(812) 988-1736
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
2510S0010JN06
License State
IN
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT B. CLEMONS

Authorized Official Title
CEO
Authorized Official Phone
(812) 988-1257

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114013752, enumerated as an "organization" on October 04, 2006.

The provider is located at 2727 N DUNN BLOOMINGTON, IN 47408 and the phone number is (812) 323-9973.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.