Capital Senior Living Ilm-B Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CAPITAL SENIOR LIVING ILM-B INC.

Doing business as

Towne Centre

Practice address

7250 Arthur Blvd
Merrillville, IN 46410-3766

Phone

(219) 736-2900

Fax

(219) 736-2209

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Moore, M.H.A. - H.C.F.A.

Title

Executive Director

Phone

(219) 736-2900

Specialties & licenses 1

Addresses

Other names 1

• Towne Centre Doing business as

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225196595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "219-736-2900",
            "fax_number": "219-736-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "219-736-2900",
            "fax_number": "219-736-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SENIOR LIVING ILM-B INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-736-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.A. - H.C.F.A."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towne Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.