Organization Active NPI

Hellenic Senior Living of Indianapolis, LLC

Doing business as Hellenic Senior Living of Indianapolis

  • Assisted Living Facility
  • Indianapolis, IN
National Provider Identifier
1386155729
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HELLENIC SENIOR LIVING OF INDIANAPOLIS, LLC
Doing business as
Hellenic Senior Living of Indianapolis
Practice address
8601 Shelby St
Indianapolis, IN 46227-6258
Phone
(317) 855-4446
Fax
(317) 885-6687
NPI assigned
Oct 12, 2017
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Jennifer Bedolla
Title
Director of Operations
Phone
(317) 845-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IN Primary

Addresses

Primary practice location

8601 Shelby St
Indianapolis, IN 46227-6258

Mailing address

10706 Sky Prairie St
Fishers, IN 46038-7803
Phone (317) 845-3410

Other names 1

  • Hellenic Senior Living of Indianapolis 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
15D2143713Hellenic Senior Living of Indianapolis,8601 South Shelby Street, Indianapolis, IN 46227Certificate of waiverFeb 4, 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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1386155729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SKY PRAIRIE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460387803",
            "telephone_number": "317-845-3410",
            "fax_number": "317-288-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276258",
            "telephone_number": "317-855-4446",
            "fax_number": "317-885-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLENIC SENIOR LIVING OF INDIANAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "BEDOLLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-845-3410"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hellenic Senior Living of Indianapolis",
            "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 Mar 22, 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.