Christole, INC
Intermediate Care Facility, Intellectual Disabilities in Bloomington, IN. Organization (NPI-2).
Details
- NPI
- 1114013752
- Entity type
- Organization (NPI-2)
- Legal business name
- Christole, INC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 2510S0010JN06 | IN | Yes |
Practice location
2727 N DunnBloomington, IN 47408
Phone 812-323-9973 · Fax 812-323-9962
Mailing address
200 HawthorneNashville, IN 47448
Phone 812-988-1257 · Fax 812-988-1736
Authorized official
Robert B. Clemons
Ceo
8129881257
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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