CAPITAL SENIOR LIVING PROPERTIES 4, INC. (NPI# 1891117784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891117784 |
| Entity Type | Organization |
| Organization Name | CAPITAL SENIOR LIVING PROPERTIES 4, INC. |
| Other Organization Name | CSL CHARLESTOWN, LLC |
| Practice Address |
2400 Market Street Charlestown IN 47111 |
| Practice Telephone | 8124061099 |
| Practice Fax Number | 8124061101 |
| Mailing Telephone | 8124061099 |
| Mailing Fax Number | 8124061101 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | JANA MILLER (VICE PRESIDENT) |
| Authorized Official Telephone | 9727705600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 13-012007-1 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CSL Charlestown, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841612835 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 5865 Sugar Lane, Plainfield, IN 46168 | 2014-01-10 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CAPITAL SENIOR LIVING PROPERTIES 4, INC. | 14160 Dallas Parkway, Suite 300, Dallas, TX 75254 |
| Indiana Business Entities | CAPITAL SENIOR LIVING PROPERTIES 4, INC. | 14160 Dallas Pkwy, Ste 300, Dallas, TX 75254 |
| Street Address |
2400 MARKET STREET |
| City | CHARLESTOWN |
| State | IN |
| Zip Code | 47111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003275488 | Janet Hilderbrand | Counselor | 7509 Charleston Pike, Charleston, IN 47111 | 2016-02-15 |
| 1497996466 | Rivercrossing Independent and Assisted Living Community | Assisted Living Facility | 2400 West Market Street, Charlestown, IN 47111 | 2009-03-20 |
| 1790973030 | Saint Catherine Physicians Services LLC | Nurse Practitioner | 2100 Market St., Charlestown, IN 47111 | 2007-10-11 |
| 1962628990 | Travis Lee Gross | Dentist | 9419 State Road 403, Charlestown, IN 47111 | 2007-04-18 |
| 1366585572 | William H Garner IIi | Surgery | 2100 Market Street, Charlestown, IN 47111 | 2007-02-15 |
| 1871603803 | Gary E Smith | Dentist | 1417 Market St, Charlestown, IN 47111 | 2006-08-31 |
| 1841239464 | Jennifer S Kramp | Physical Therapist | 9407 County Rd 403, Charlestown, IN 47111 | 2006-06-06 |
| 1861472169 | Michael Patrick Hensley | Physical Therapist | 9407 Highway 403, Charlestown, IN 47111 | 2006-01-20 |
| 1598289183 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9616 County Road 403, Charlestown, IN 47111 | 2017-07-26 |
| 1518406099 | Connie King | Counselor | 7509 Charlestown Pike, Charlestown, IN 47111 | 2017-02-17 |
| Find all providers in zip 47111 | ||||
| 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 |
|---|---|---|---|---|
| 1972078293 | Campbell House, LLC | Assisted Living Facility | 164 Old Springfield Rd, Charlestown, NH 03603-4504 | 2018-10-13 |
| 1497996466 | Rivercrossing Independent and Assisted Living Community | Assisted Living Facility | 2400 West Market Street, Charlestown, IN 47111 | 2009-03-20 |
| 1346463452 | Mishawum Assisted Living Assoc., LLC | Assisted Living Facility | 9 W School St, Charlestown, MA 02129-2902 | 2007-04-10 |
| 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 | CHARLESTOWN |
| Zip Code | 47111 |
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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.