Provider Demographics
NPI:1528297207
Name:CNI STARKE LLC
Entity type:Organization
Organization Name:CNI STARKE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATKOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-326-2348
Mailing Address - Street 1:102 E CULVER RD
Mailing Address - Street 2:
Mailing Address - City:KNOX
Mailing Address - State:IN
Mailing Address - Zip Code:46534-2216
Mailing Address - Country:US
Mailing Address - Phone:574-772-6231
Mailing Address - Fax:574-772-5948
Practice Address - Street 1:102 E CULVER RD
Practice Address - Street 2:
Practice Address - City:KNOX
Practice Address - State:IN
Practice Address - Zip Code:46534-2216
Practice Address - Country:US
Practice Address - Phone:574-772-6231
Practice Address - Fax:574-772-5948
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CNI STARKE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-02
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09-005091-1273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN15T102Medicare Oscar/Certification