CHRISTOLE, INC
NPI 1114013752
Intermediate Care Facility, Intellectual Disabilities in Bloomington, IN
- 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
- Code Navigator
Location Map
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.
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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.