Organization Active NPI

Sabra Indiana Operations I, LLC

  • Assisted Living Facility
  • Fort Wayne, IN
National Provider Identifier
1114853496
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SABRA INDIANA OPERATIONS I, LLC
Practice address
4411 Park Place Dr
Fort Wayne, IN 46845-8793
Phone
(260) 480-2500
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Kris Peters
Title
Director of Business Office
Phone
(260) 452-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4411 Park Place Dr
Fort Wayne, IN 46845-8793

Mailing address

4411 Park Place Dr
Fort Wayne, IN 46845-8793
Phone (260) 452-4896

National Provider Directory

National Provider Directory

Locations

4411 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 205-8451

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1114853496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 PARK PLACE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458793",
            "telephone_number": "260-452-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 PARK PLACE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458793",
            "telephone_number": "260-480-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA INDIANA OPERATIONS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.