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BETHANY VILLAGE INVENSTORS LLC NPI 1376697201


NPI Information

NPI: 1376697201
Provider Name: BETHANY VILLAGE INVENSTORS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 15D0899939

Address:
3530 SHELBY ST
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 784-3066
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BETHANY VILLAGE INVENSTORS LLC is an assisted living facility in Indianapolis, 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. BETHANY VILLAGE INVENSTORS LLC NPI is 1376697201. The provider is registered as an organization entity type.

The provider's business location address is:

3530 SHELBY ST
INDIANAPOLIS, IN
ZIP 46227-226
Phone: (317) 784-3066
Fax: (317) 781-3037

The provider's authorized official is Dana Huffman .
The authorized official title is Administrator and has the following contact phone number (317) 784-3066.

The CLIA number assigned to this NPI record is 15D0899939 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


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 FacilityINDIANAYes

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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