Discovery Northside Acquisition LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DISCOVERY NORTHSIDE ACQUISITION LLC

Practice address

1251 W 96TH St
Indianapolis, IN 46260-1181

Phone

(317) 575-9200

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Costello

Title

Chief Financial Officer

Phone

(813) 420-4052

Specialties & licenses 1

Addresses

Other names 1

• Rittenhouse Village At Northside Doing business as

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1326677576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27599 RIVERVIEW CENTER BLVD STE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344327",
            "telephone_number": "239-676-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601181",
            "telephone_number": "317-575-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY NORTHSIDE ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "813-420-4052"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rittenhouse Village At Northside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, 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 Jun 26, 2024; 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.