Provider Demographics
NPI:1194806281
Name:DLR INVESTMENTS, INC.
Entity type:Organization
Organization Name:DLR INVESTMENTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-654-2231
Mailing Address - Street 1:1200 WHITLATCH WAY
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:IN
Mailing Address - Zip Code:47031-8343
Mailing Address - Country:US
Mailing Address - Phone:812-654-2231
Mailing Address - Fax:812-654-2240
Practice Address - Street 1:1200 WHITLATCH WAY
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:IN
Practice Address - Zip Code:47031-8343
Practice Address - Country:US
Practice Address - Phone:812-654-2231
Practice Address - Fax:812-654-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-000420-1313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100266230AMedicaid
IN000000349795OtherBCBS PROVIDER NUMBER
IN155730Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER