Organization
HUBBARD HILL ESTATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK PINGEL (EXECUTIVE DIRECTOR)
(574) 295-6260
Entity
Organization
Contact information
Practice address
28070 COUNTY ROAD 24, ELKHART, IN 46517-9774
(574) 295-6260
(574) 295-5852
Mailing address
28070 COUNTY ROAD 24, ELKHART, IN 46517-9774
(574) 295-6260
(574) 295-5852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-001131-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493029
ANTHEM
IN
05
—
200823940A
—
IN
Enumeration date
09/28/2006
Last updated
03/31/2014
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