CCN: 155635 NPI: 1285723734 Organization

GRACE VILLAGE HEALTH CARE FACILITY

337 GRACE VILLAGE DR
WINONA LAKE, IN 465905774

Contact Information

Phone 5743726200
Fax 5743726386
Enumeration Date 2006-10-12
Last Updated 2013-11-25

Taxonomies

Code: 310400000X License State: IN License: 060005011
Code: 314000000X License State: IN License: 060005011
Code: 313M00000X (Primary) License State: IN License: 060005011

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9845986356

censusDivision 4

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9802564842

censusDivision 4

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9991930489

censusDivision 0

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9907383403

censusDivision 0

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9811903761

censusDivision 0

cbsaActualGeographicLocation 15

providerType 38

vbpAdjustment 0.9997032537

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.