Organization Active NPI

Glasswater Creek of Whitestown LLC

Doing business as Glasswater Creek of Whitestown

  • Assisted Living Facility
  • Whitestown, IN
National Provider Identifier
1235895293
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GLASSWATER CREEK OF WHITESTOWN LLC
Doing business as
Glasswater Creek of Whitestown
Practice address
5829 New Hope Blvd
Whitestown, IN 46075-4558
Phone
(463) 209-8670
NPI assigned
Nov 15, 2021
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

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 1

  • Glasswater Creek of Whitestown Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2261119Glasswater Creek of Whitestown5829 New Hope Blvd, Whitestown, IN 46075Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1235895293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 NEW HOPE BLVD",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460754558",
            "telephone_number": "463-209-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSWATER CREEK OF WHITESTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "FINANCIAL PROJECT & BUSINESS INSURA",
        "authorized_official_telephone_number": "815-935-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glasswater Creek of Whitestown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glasswater Creek of Whitestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.