CAPITAL SENIOR LIVING PROPERTIES 4 INC. NPI 1083036974

NPI Information

NPI: 1083036974
Provider Name: CAPITAL SENIOR LIVING PROPERTIES 4, INC.

Doing Business As: CSL FORT WAYNE, LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3320 EAST STATE BOULEVARD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 483-4343
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CAPITAL SENIOR LIVING PROPERTIES 4, INC. is an assisted living facility in Fort Wayne, 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. CAPITAL SENIOR LIVING PROPERTIES 4, INC. NPI is 1083036974. The provider is registered as an organization entity type.
The provider Is Doing Business As Csl Fort Wayne, Llc.

The provider's business location address is:

3320 EAST STATE BOULEVARD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 483-4343
Fax: (812) 406-1101

The provider's authorized official is Dan Kenyon .
The authorized official title is Vp And Secretary and has the following contact phone number (972) 770-5600.

The enumeration date for this NPI number is 1/10/2014 and was last updated on 1/10/2014.

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		13-012107-1	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: 11/14/2023

NPI Synchronization or Removal

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