Organization Active NPI

HS Fund Gentry Park TRS

Doing business as Gentry Park Senior Living

  • Assisted Living Facility
  • Bloomington, IN
National Provider Identifier
1366202384
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HS FUND GENTRY PARK TRS
Doing business as
Gentry Park Senior Living
Practice address
901 S Hastings Dr
Bloomington, IN 47401-8205
Phone
(260) 452-4896
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Kris Peters
Title
Director of Business Office and Wai
Phone
(260) 452-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

901 S Hastings Dr
Bloomington, IN 47401-8205

Mailing address

901 S Hastings Dr
Bloomington, IN 47401-8205
Phone (260) 452-4896

Other names 1

  • Gentry Park Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1366202384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S HASTINGS DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018205",
            "telephone_number": "260-452-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S HASTINGS DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018205",
            "telephone_number": "260-452-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS FUND GENTRY PARK TRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE AND WAI",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentry Park Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.