Organization Active NPI

Gahc3 Hobart in Alf TRS Sub, LLC

Doing business as Brentwood at Hobart

  • Assisted Living Facility
  • Hobart, IN
National Provider Identifier
1083094726
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GAHC3 HOBART IN ALF TRS SUB, LLC
Doing business as
Brentwood at Hobart
Practice address
1420 Saint Marys Cir
Hobart, IN 46342-6561
Phone
(317) 324-9565
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Danny Prosky
Title
Authorized Representative
Phone
(949) 270-9200

Specialties & licenses 1

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

Addresses

Primary practice location

1420 Saint Marys Cir
Hobart, IN 46342-6561

Mailing address

1420 Saint Marys Cir
Hobart, IN 46342-6561
Phone (317) 324-9565

Other names 1

  • Brentwood at Hobart Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1083094726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SAINT MARYS CIR",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426561",
            "telephone_number": "317-324-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SAINT MARYS CIR",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426561",
            "telephone_number": "317-324-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 HOBART IN ALF TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood at Hobart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.