Fall Creek Retirement Village, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FALL CREEK RETIREMENT VILLAGE, INC.

Practice address

625 E Water St
Pendleton, IN 46064-8551

Phone

(765) 778-2384

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jayna Friend

Title

Corporate Bookkeeper

Phone

(765) 649-4558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053459719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E WATER ST",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648551",
            "telephone_number": "765-778-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E WATER ST",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648551",
            "telephone_number": "765-778-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL CREEK RETIREMENT VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_title_or_position": "CORPORATE BOOKKEEPER",
        "authorized_official_telephone_number": "765-649-4558"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pendleton, IN
• Providers in Pendleton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.