TH Senior Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

14-013389-1 Issued in IN

Legal business name

TH SENIOR MANAGEMENT, LLC

Doing business as

Wyndmoor Senior Living Community

Practice address

1465 E Crossing Blvd
Terre Haute, IN 47802-5315

Phone

(812) 298-9963

Fax

(812) 299-0660

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Reed

Title

Member

Phone

(317) 818-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WYNDMOOR SENIOR LIVING COMMUNITY Doing business as

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1235549395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 PRIORITY WAY WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401470",
            "telephone_number": "317-818-1240",
            "fax_number": "317-818-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 E CROSSING BLVD",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025315",
            "telephone_number": "812-298-9963",
            "fax_number": "812-299-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TH SENIOR MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-818-1240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "14-013389-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH",
            "identifier": "14-013389-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYNDMOOR SENIOR LIVING COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Terre Haute, IN
• Providers in Terre Haute, 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 Apr 29, 2014; 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.