REAGAN PARK SENIOR LIVING LLC NPI 1619371986

NPI Information

NPI: 1619371986
Provider Name: REAGAN PARK SENIOR LIVING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1176 KINGWOOD DR
AVON, IN
ZIP 46123
Phone: (317) 271-0100
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REAGAN PARK SENIOR LIVING LLC is an assisted living facility in Avon, 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. REAGAN PARK SENIOR LIVING LLC NPI is 1619371986. The provider is registered as an organization entity type.

The provider's business location address is:

1176 KINGWOOD DR
AVON, IN
ZIP 46123-501
Phone: (317) 271-0100

The provider's authorized official is Kim Schmidt .
The authorized official title is Health Facility Administrator and has the following contact phone number (317) 271-0100.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.

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
1	310400000X	Assisted Living Facility		140132642	INDIANA	Yes

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

NPI Synchronization or Removal

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