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TH SENIOR MANAGEMENT LLC NPI 1235549395


NPI Information

NPI: 1235549395
Provider Name: TH SENIOR MANAGEMENT, LLC

Doing Business As: WYNDMOOR SENIOR LIVING COMMUNITY

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

CLIA Number: 15D2064750

Address:
1465 E CROSSING BLVD
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 298-9963
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TH SENIOR MANAGEMENT, LLC is an assisted living facility in Terre Haute, 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. TH SENIOR MANAGEMENT, LLC NPI is 1235549395. The provider is registered as an organization entity type.
The provider Is Doing Business As Wyndmoor Senior Living Community.

The provider's business location address is:

1465 E CROSSING BLVD
TERRE HAUTE, IN
ZIP 47802-315
Phone: (812) 298-9963
Fax: (812) 299-0660

The provider's authorized official is Stuart Reed .
The authorized official title is Member and has the following contact phone number (317) 818-1240.

The CLIA number assigned to this NPI record is 15D2064750 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 4/29/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility14-013389-1INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114-013389-1OTHERINDIANAINDIANA STATE DEPARTMENT OF HEALTH

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: 4/28/2024

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