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ALC OPERATING LLC NPI 1104942663


NPI Information

NPI: 1104942663
Provider Name: ALC OPERATING LLC

Doing Business As: BELL OAKS TERRACE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 15D1080586

Address:
4200 WYNTREE DRIVE
NEWBURGH, IN
ZIP 47630
Phone: (812) 858-0488
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ALC OPERATING LLC is an assisted living facility in Newburgh, IN. The provider is 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. ALC OPERATING LLC NPI is 1104942663. The provider is registered as an organization entity type.
The provider Is Doing Business As Bell Oaks Terrace.

The provider's business location address is:

4200 WYNTREE DRIVE
NEWBURGH, IN
ZIP 47630
Phone: (812) 858-0488
Fax: (812) 858-3762

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President And Controller and has the following contact phone number (262) 257-8888.

The CLIA number assigned to this NPI record is 15D1080586 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 2/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility060049031INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200232220BMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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