# COUNTY OF INDIANA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF INDIANA
- **Other names:** The Communities at Indian Haven
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942283528
- **Legal business name:** COUNTY OF INDIANA
- **Authorized official:** MRS. KIMBERLY COBAUGH RNC, MSN, NHA (ADMINISTRATOR)
- **Authorized official phone:** (724) 465-3900

## Contact information

- **Practice address:** 1675 SALTSBURG AVE, INDIANA, PA 15701-3573
- **Practice address phone:** (724) 465-3900
- **Practice address fax:** (724) 465-2013
- **Mailing address:** 1675 SALTSBURG AVE, INDIANA, PA 15701-3573
- **Mailing address phone:** (724) 465-3900
- **Mailing address fax:** (724) 465-2013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 090102 | PA | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 12/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007463790005 | — | PA |
| 01 | — | 643 | BLUE CORSS | PA |
| 01 | — | 6433 | BLUE CROSS | PA |