Organization Active NPI

A Senior Retreat LLC

  • Adult Day Care Clinic/Center
  • Martinsville, IN
National Provider Identifier
1386281202
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
A SENIOR RETREAT LLC
Practice address
609 S Lincoln St
Martinsville, IN 46151-2216
Phone
(317) 999-8145
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Susan Lowe
Title
Owner
Phone
(317) 999-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

609 S Lincoln St
Martinsville, IN 46151-2216

Mailing address

609 S Lincoln St
Martinsville, IN 46151-2216
Phone (317) 999-8145

National Provider Directory

National Provider Directory

Locations

609 S Lincoln St
Martinsville, IN 46151
Phone (317) 999-8145

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1386281202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S LINCOLN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512216",
            "telephone_number": "317-999-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S LINCOLN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512216",
            "telephone_number": "317-999-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SENIOR RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-999-8145"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.