1019 Vermilion Place LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

1019 VERMILION PLACE LLC

Practice address

449 Main St
Anderson, IN 46016-1185

Phone

(765) 622-7825

NPI assigned

Oct 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Heather P. Kesler, HFA

Title

Owner

Phone

(317) 529-6186

Specialties & licenses 1

Addresses

Other names 1

• 1019 Senior Living Vermillion Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Hirons, OTR

  • Occupational Therapist
  • Greenfield, IN
  • NPI 1194519017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1043092141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY ST",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401504",
            "telephone_number": "317-529-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MAIN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161185",
            "telephone_number": "765-622-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1019 VERMILION PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "KESLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-529-6186",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1019 Senior Living Vermillion Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 9TH Street Dental
• Ronia Aasar
• Sadia Abbasi, MD
• Kashif Abdul-Rahman, MD
• Subrie Ahmed Abedallhadi, M.D.

• Assisted Living Facility in Anderson, IN
• Providers in Anderson, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.