Organization Active NPI

Fort Harrison Alf Operations LLC

  • Assisted Living Facility
  • Indianapolis, IN
National Provider Identifier
1245060045
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FORT HARRISON ALF OPERATIONS LLC
Practice address
8025 Doubleday Dr
Indianapolis, IN 46216-2016
Phone
(317) 546-2846
Fax
(317) 591-7230
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Ceaira Frasher
Title
Regional Operations Manager
Phone
(937) 591-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8025 Doubleday Dr
Indianapolis, IN 46216-2016

Mailing address

8025 Doubleday Dr
Indianapolis, IN 46216-2016
Phone (317) 546-2846

Other names 1

  • Fort Harrison Assisted Living 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
15D2124870Fort Harrison Assisted Living8025 Doubleday Drive, Indianapolis, IN 46216Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

8025 Doubleday Dr
Indianapolis, IN 46216
Phone (317) 546-2846

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1245060045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 DOUBLEDAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162016",
            "telephone_number": "317-546-2846",
            "fax_number": "317-591-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 DOUBLEDAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162016",
            "telephone_number": "317-546-2846",
            "fax_number": "317-591-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT HARRISON ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "FRASHER",
        "authorized_official_first_name": "CEAIRA",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "937-591-2785"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Harrison Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.