# BELL TRACE HEALTH AND LIVING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARDON & ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457509655
- **Legal business name:** CARDON & ASSOCIATES
- **Authorized official:** MR. STEPHEN MOORE MD (OWNER/CEO)
- **Authorized official phone:** (812) 332-2265

## Contact information

- **Practice address:** 725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
- **Practice address phone:** (812) 323-2858
- **Practice address fax:** (812) 323-2854
- **Mailing address:** 725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
- **Mailing address phone:** (812) 323-2858
- **Mailing address fax:** (812) 323-2854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 22002301A | IN | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 121332 | COMMON ID PIN \# FOR ANTHEM | IN |
| 01 | — | 358965 | ANTHEM PIN NUMBER | IN |