# MCCARROLL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westpark Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609871292
- **Authorized official:** MR. DAVID L MCCARROLL (PRESIDENT)
- **Authorized official phone:** (317) 634-8330

## Contact information

- **Practice address:** 1316 N TIBBS AVE, INDIANAPOLIS, IN 46222-3024
- **Practice address phone:** (317) 634-8330
- **Practice address fax:** (317) 263-9442
- **Mailing address:** 1316 N TIBBS AVE, INDIANAPOLIS, IN 46222-3024
- **Mailing address phone:** (317) 634-8330
- **Mailing address fax:** (317) 263-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 050004731 | IN | Yes |
| 314000000X | Skilled Nursing Facility | 05004731 | IN | — |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 10/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000097937 | ANTHEM BCBS | IN |
| 05 | — | 100290410B | — | IN |