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Glasswater Creek of Whitestown LLC

Organization Active NPI Assisted Living Facility · Whitestown, IN

NPI 1235895293 · NPPES record last updated Jul 15, 2025

Key facts

NPI
1235895293
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
GLASSWATER CREEK OF WHITESTOWN LLC
Practice address
5829 New Hope Blvd
Whitestown, IN 46075-4558
Phone
(463) 209-8670
NPI assigned
Nov 15, 2021
Organization subpart
No

Authorized official

Name
Bridgett Fitzgerald
Title
Financial Project & Business Insura
Phone
(815) 935-1992

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2261119Glasswater Creek of Whitestown
5829 New Hope Blvd, Whitestown, IN 46075		Certificate of waiverMay 25, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

5829 New Hope Blvd
Whitestown, IN 46075-4558

Mailing address

200 E Court St Ste 400
Kankakee, IL 60901-3848
Phone (815) 935-1992

Other names

  • Glasswater Creek of Whitestown Doing business as

Other providers in Whitestown, IN

All providers in Whitestown, IN · Assisted Living Facility in Indiana

Sources for this page

Verify at the official NPI Registry.