Alc Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

060049031 Issued in IN

Legal business name

ALC OPERATING LLC

Practice address

4200 Wyntree Drive
Newburgh, IN 47630

Phone

(812) 858-0488

Fax

(812) 858-3762

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Walter A Levonowich

Title

Vice President and Controller

Phone

(262) 257-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bell Oaks Terrace Doing business as

Tax ID family

Alc Operating LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alc Operating, LLC

  • Assisted Living Facility
  • South Bend, IN
  • NPI 1073805719
  NPD tax ID

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1104942663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W140N8981 LILLY RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512325",
            "telephone_number": "262-257-8888",
            "fax_number": "262-502-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WYNTREE DRIVE",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47630",
            "telephone_number": "812-858-0488",
            "fax_number": "812-858-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALC OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CONTROLLER",
        "authorized_official_telephone_number": "262-257-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "060049031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200232220B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Oaks Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adaptive Hospice LLC
• Mohammed S Adeel, MD
• Talal Ammin Al-Mohamad, DO
• Hazem Albandar, MD
• Hasan Ahmad Hasan Albitar, M.D.
• Fahana Stacie Alerte
• Laura Beth Alexander, RD
• Stephanie Jean Alexander
• Mohammed A Allaw, M.D.
• Carla Alldredge, DMD

• All providers in Newburgh, IN
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.