Provider Demographics
NPI:1184999112
Name:JOHANNES FOUNDATION LIMITED
Entity type:Organization
Organization Name:JOHANNES FOUNDATION LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHANNES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:812-972-7744
Mailing Address - Street 1:3195 WHISPERING WOODS LANE, NE
Mailing Address - Street 2:
Mailing Address - City:NEW SALISBURY
Mailing Address - State:IN
Mailing Address - Zip Code:47161-9687
Mailing Address - Country:US
Mailing Address - Phone:812-972-7744
Mailing Address - Fax:812-972-7759
Practice Address - Street 1:3195 WHISPERING WOODS DR NE
Practice Address - Street 2:
Practice Address - City:NEW SALISBURY
Practice Address - State:IN
Practice Address - Zip Code:47161-9687
Practice Address - Country:US
Practice Address - Phone:812-972-7744
Practice Address - Fax:812-972-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty