Active NPI
A Senior Retreat LLC
- Adult Day Care Clinic/Center
- Martinsville, IN
National Provider Identifier
1386281202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.