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Contact Information

BLOOM AT WILLOW, LLC
2725 LAKE CIRCLE DR
INDIANAPOLIS, IN46268-4931
 Phone: 317-334-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for BLOOM AT WILLOW, LLC

NPI # 1669255931
LBN Legal business name BLOOM AT WILLOW, LLC
Authorized official SCOTT KANTOR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2023
Last updated 08/18/2023 - About 3 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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