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Dycora Transitional Health - Evansville LLC

Skilled Nursing Facility in Evansville, IN. Organization (NPI-2).

NPI number1306389200
StatusActive
Last updated in NPPESJan 24, 2018

Details

NPI
1306389200
Entity type
Organization (NPI-2)
Legal business name
Dycora Transitional Health - Evansville LLC
Organization subpart
No
Enumeration date
Nov 23, 2016
Last updated
Jan 24, 2018

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 codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–INYes

Practice location

816 N 1st Ave
Evansville, IN 47710-1938

Phone 812-426-2841

Mailing address

816 N 1st Ave
Evansville, IN 47710-1938

Phone 812-426-2841

Authorized official

Mary Hawkins
Executive
8124262841

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.

Other Skilled Nursing Facility providers in Evansville, IN

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