MAGNOLIA HEALTH SYSTEM IX, INC. (NPI# 1831335637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831335637 |
Entity Type | Organization |
Organization Name | MAGNOLIA HEALTH SYSTEM IX, INC. |
Other Organization Name | SUMMIT PLACE WEST |
Practice Address |
55 Mission Dr Indianapolis IN 46214-5907 |
Mailing Address |
9455 Delegates Row Indianapolis IN 46240-3805 |
Practice Telephone | 3172442600 |
Practice Fax Number | 3172443771 |
Mailing Telephone | 3178181240 |
Mailing Fax Number | 3178181430 |
Enumeration Date | 2008-12-29 |
Last Update Date | 2008-12-29 |
Authorized Official Name | MR. TIMOTHY DEAN PAINO (ADMINISTRATOR) |
Authorized Official Telephone | 3172442600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 080118401 | IN | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Summit Place West | Doing Business As Name - Organization |
Street Address |
55 MISSION DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46214-5907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548666084 | Sandra Marie Crenshaw | Occupational Therapist | 55 Mission Dr, Indianapolis, IN 46214-5907 | 2014-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
Find all providers in zip 46214 |
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 |
---|---|---|---|---|
1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
1093360984 | Glasswater Creek of Plainfield, LLC | Assisted Living Facility | 10480 Glasswater Rd, Indianapolis, IN 46231-0001 | 2019-08-07 |
1235600412 | Oasis At 56th, L.p. | Assisted Living Facility | 4940 W 56th St, Indianapolis, IN 46254-1402 | 2018-12-16 |
1386155729 | Hellenic Senior Living of Indianapolis, LLC | Assisted Living Facility | 8601 Shelby St, Indianapolis, IN 46227-6258 | 2017-10-12 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1053790725 | Ritter Aal Senior Lp | Assisted Living Facility | 5651 E 30th St, Indianapolis, IN 46218-3309 | 2015-05-27 |
1386049278 | Solana Senior Living, LLC | Assisted Living Facility | 7721 Battery Pointe Way, Indianapolis, IN 46240-1393 | 2014-11-04 |
1780086082 | Rpm Indianapolis, LLC | Assisted Living Facility | 7960 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2014-09-18 |
1205164043 | Gods Will Hope & Support Services LLC | Assisted Living Facility | 6023 Coburn Ave, Indianapolis, IN 46228-1227 | 2009-12-04 |
1437399888 | Crownpointe Communities LLC | Assisted Living Facility | 7365 E 16th St, Indianapolis, IN 46219-2308 | 2009-02-25 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46214 |
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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.