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NEWBURGH ASSISTED LIVING LLC NPI 1821615444


NPI Information

NPI: 1821615444
Provider Name: NEWBURGH ASSISTED LIVING, LLC

Doing Business As: HERITAGE WOODS OF NEWBURGH

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

CLIA Number: 15D2189781

Address:
4211 GRIMM RD
NEWBURGH, IN
ZIP 47630
Phone: (812) 853-9810
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NEWBURGH ASSISTED LIVING, 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. NEWBURGH ASSISTED LIVING, LLC NPI is 1821615444. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Woods Of Newburgh.

The provider's business location address is:

4211 GRIMM RD
NEWBURGH, IN
ZIP 47630-444
Phone: (812) 853-9810
Fax: (812) 853-9785

The provider's authorized official is Greg Echols .
The authorized official title is Co-president Of Management Company and has the following contact phone number (815) 935-1992.

The CLIA number assigned to this NPI record is 15D2189781 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2020 and was last updated on 10/11/2023.


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 FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.