Kokomo Place Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KOKOMO PLACE ASSISTED LIVING LLC

Practice address

3025 W Sycamore St Ofc
Kokomo, IN 46901-4177

Phone

(765) 456-1490

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri Berghoff

Title

Ceo

Phone

(260) 740-3220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1073326021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157637",
            "telephone_number": "260-740-3220",
            "fax_number": "260-498-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W SYCAMORE ST OFC",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014177",
            "telephone_number": "765-456-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO PLACE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BERGHOFF",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-740-3220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokomo Neurology Clinic, Inc.
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• Kokomo Pathologist Associates
• Kokomo Pediatric Dentistry, LLC
• Kokomo RCF LP (Silver Birch of Kokomo)
• Kokomo School Corporation
• Kokomo Sleep Center, LLC
• Kokomo Surgical Group, LLC
• Kokomo Urology Inc.

• Assisted Living Facility in Kokomo, IN
• Providers in Kokomo, 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 Jan 31, 2025; 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.