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Contact Information

1717 SENIOR LIVING, LLC
1703 WEST 86TH STREET
INDIANAPOLIS, IN46260
 Phone: 317-876-2916
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for 1717 SENIOR LIVING, LLC

NPI Number 1609392422
LBN Legal business name 1717 SENIOR LIVING, LLC
Authorized official THOMAS SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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