MCCORDSVILLE SENIOR LIVING, LLC (NPI# 1639619919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639619919 |
| Entity Type | Organization |
| Organization Name | MCCORDSVILLE SENIOR LIVING, LLC |
| Practice Address |
6311 W County Road 900 North Mccordsville IN 46055 |
| Mailing Address |
802 E 86th St Indianapolis IN 46240-1806 |
| Practice Telephone | 3173359900 |
| Mailing Telephone | 3178193205 |
| Mailing Fax Number | 3178937125 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | MR. THOMAS SMITH (PRESIDENT) |
| Authorized Official Telephone | 3178193205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | IN | Nursing & Custodial Care Facilities |
| Street Address |
6311 W COUNTY ROAD 900 NORTH |
| City | MCCORDSVILLE |
| State | IN |
| Zip Code | 46055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1760881684 | Geist Montessori Academy | Local Education Agency (LEA) | 13945 E. 96th St, Mccordsville, IN 46055 | 2014-08-15 |
| 1851548523 | Courtney Robinson | Speech-Language Pathologist | 5661 W Woods Edge Dr, Mccordsville, IN 46055 | 2008-08-25 |
| 1508063777 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 5981 West Broadway, Mc Cordsville, IN 46055 | 2007-06-29 |
| 1518091800 | Mcdonald Family Dentistry PC | Dentist | 5842 West Broadway, Mccordsville, IN 46055 | 2007-03-16 |
| 1356411201 | Tara Frieden | Specialist | 9912 Wading Crane Avenue, Mccordsville, IN 46055 | 2006-11-08 |
| 1558316463 | Green House and Associates Inc | Social Worker | 6246 W Broadway # 200, Mccordsville, IN 46055 | 2006-05-23 |
| 1437137650 | Joann Schafer | Nurse Practitioner | 5189 West 600 N, Mccordsville, IN 46055 | 2006-01-06 |
| 1679068621 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6939 W Broadway, Mccordsville, IN 46055 | 2018-06-22 |
| 1396986816 | Katherine Sumner Chillemi | Speech-Language Pathologist | 10117 Oak Haven Dr, Mc Cordsville, IN 46055-4411 | 2009-03-12 |
| Find all providers in zip 46055 | ||||
| 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 |
|---|---|---|---|---|
| 1437757747 | Auburn Senior Living LLC | Assisted Living Facility | 1675 W. 7th Street, Auburn, IN 46706-2530 | 2020-10-09 |
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1841804192 | Saint Anne Home of The Diocese of Fort Wayne-south Bend | Assisted Living Facility | 25 Victory Noll Dr, Huntington, IN 46750-9111 | 2020-09-03 |
| 1407460959 | Residential Care X L.L.C. | Assisted Living Facility | 7133 Meadow Trl, Brownsburg, IN 46112-1388 | 2020-09-02 |
| 1598379042 | Residential Care Xi L.L.C. | Assisted Living Facility | 10410 Allisonville Rd, Fishers, IN 46038-2017 | 2020-09-02 |
| 1821615444 | Newburgh Assisted Living, LLC | Assisted Living Facility | 4211 Grimm Rd, Newburgh, IN 47630-9444 | 2020-06-30 |
| 1003431461 | Residential Care Xiii L.L.C. | Assisted Living Facility | 741 Park East Blvd, Lafayette, IN 47905-0797 | 2020-06-11 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | MCCORDSVILLE |
| Zip Code | 46055 |
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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.