THE WYNDMOOR OF MARION (IN), LLC (NPI# 1508411018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508411018 |
| Entity Type | Organization |
| Organization Name | THE WYNDMOOR OF MARION (IN), LLC |
| Practice Address |
2452 W Kem Rd Marion IN 46952-6872 |
| Practice Telephone | 7653844500 |
| Practice Fax Number | 7653844503 |
| Mailing Telephone | 7653844500 |
| Mailing Fax Number | 7653844503 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | MS. LACHELE HENKLE WEAVER (OWNER/OPERATOR) |
| Authorized Official Telephone | 3172587031 |
| Authorized Official Credential | HFA, MBA, CLSS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA STATE DEPARTMENT OF HEALTH RESIDENTIAL CARE LICENSE | 19-010682-1 | 01 |
| Street Address |
2452 W KEM RD |
| City | MARION |
| State | IN |
| Zip Code | 46952-6872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386873669 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2452 W Kem Rd, Marion, IN 46952-6872 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494889 | The Views Operator B, LLC | Assisted Living Facility | 720 Oakbrook Dr, Marion, IA 52302-7647 | 2018-07-25 |
| 1558775916 | Medical Alliance Residential Facility | Assisted Living Facility | 3948 N. Hwy 501, Marion, SC 29571 | 2014-06-13 |
| 1154752624 | River To River Community of Anna | Assisted Living Facility | 1500 Sandbar Drive, Marion, IL 62959 | 2013-12-09 |
| 1013343136 | River To River Community of Marion | Assisted Living Facility | 1515 E Deyoung St, Marion, IL 62959-5097 | 2013-09-20 |
| 1295003622 | Park Setting | Assisted Living Facility | 1470 Tama St, Marion, IA 52302-4819 | 2011-12-13 |
| 1336431873 | Magnolia Gardens Assisted Living Home | Assisted Living Facility | 1200 North Main St., Marion, SC 29571-2029 | 2011-05-03 |
| 1831427087 | Marion Assisted Living | Assisted Living Facility | 200 Eisenhower Dr, Marion, KS 66861-1372 | 2009-11-30 |
| 1386873669 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2452 W Kem Rd, Marion, IN 46952-6872 | 2009-07-08 |
| 1043459282 | Brookdale Senior Living Communities, Inc | Assisted Living Facility | 308 Barks Rd E, Marion, OH 43302-6500 | 2009-02-11 |
| 1790953693 | Country Home Assisted Living | Assisted Living Facility | 1311 Lower Seguin Rd, Marion, TX 78124-4004 | 2008-02-13 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.