CCRC Opco - Robin Run, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-001156-1 Issued in IN

Legal business name

CCRC OPCO - ROBIN RUN, LLC

Doing business as

Robin Run Health Center

Practice address

6370 Robin Run W
Indianapolis, IN 46268-4051

Phone

(371) 293-5500

Fax

(317) 298-2899

NPI assigned

May 9, 2006

Last updated

Nov 11, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKDALE LIVING COMMUNITIES INCAs reported in NPPES

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

Authorized official

Name

Mr. Mark W Ohlendorf

Title

President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Robin Run Health Center Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1245289826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 ROBIN RUN W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684051",
            "telephone_number": "371-293-5500",
            "fax_number": "317-298-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 ROBIN RUN W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684051",
            "telephone_number": "371-293-5500",
            "fax_number": "317-298-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRC OPCO - ROBIN RUN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE LIVING COMMUNITIES INC",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-001156-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robin Run Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.