Organization Active NPI

Christopher Place at Keystone Woods Associates, LLC

  • Assisted Living Facility
  • Anderson, IN
National Provider Identifier
1063609642
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHRISTOPHER PLACE AT KEYSTONE WOODS ASSOCIATES, LLC
Practice address
2334 North Madison Ave
Anderson, IN 46011
Phone
(765) 642-8020
Fax
(765) 642-8015
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mr. Charles E Maulbetsch
Title
President / Ceo
Phone
(734) 997-7015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IN Primary

Addresses

Primary practice location

2334 North Madison Ave
Anderson, IN 46011

Mailing address

2334 North Madison Ave
Anderson, IN 46011
Phone (765) 642-8020

Other names 1

  • Keystone Woods Assisted Living Community Doing business as

National Provider Directory

National Provider Directory

Locations

2334 N Madison Ave
Anderson, IN 46011
Phone (765) 642-8020

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1063609642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 NORTH MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46011",
            "telephone_number": "765-642-8020",
            "fax_number": "765-642-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 NORTH MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46011",
            "telephone_number": "765-642-8020",
            "fax_number": "765-642-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER PLACE AT KEYSTONE WOODS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MAULBETSCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "734-997-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Woods Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.