Provider Demographics
NPI:1982836524
Name:CHATEAU OF BATESVILLE LLC
Entity Type:Organization
Organization Name:CHATEAU OF BATESVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:EUBANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-843-2204
Mailing Address - Street 1:44 CHATEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-5744
Mailing Address - Country:US
Mailing Address - Phone:812-932-8888
Mailing Address - Fax:
Practice Address - Street 1:44 CHATEAU BLVD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-5744
Practice Address - Country:US
Practice Address - Phone:812-932-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-16
Last Update Date:2009-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN200-882-300A310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200882300AMedicaid