NPIMap

Organization Active NPI

Assisted Living Concepts Bliss House

  • Assisted Living Facility
  • Bedford, IN
National Provider Identifier
1407063928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASSISTED LIVING CONCEPTS BLISS HOUSE
Practice address
3008 S Shawnee Dr
Bedford, IN 47421-5282
Phone
(812) 275-2468
Fax
(812) 275-2491
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sholin Joele Montgomery, HFA
Title
Residence Director
Phone
(812) 275-2468

Specialties & licenses 1

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

Addresses

Primary practice location

3008 S Shawnee Dr
Bedford, IN 47421-5282

Mailing address

3008 S Shawnee Dr
Bedford, IN 47421-5282
Phone (812) 275-2468

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living Concepts Inc213 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407063928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 S SHAWNEE DR",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215282",
            "telephone_number": "812-275-2468",
            "fax_number": "812-275-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 S SHAWNEE DR",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215282",
            "telephone_number": "812-275-2468",
            "fax_number": "812-275-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS BLISS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHOLIN",
        "authorized_official_middle_name": "JOELE",
        "authorized_official_title_or_position": "RESIDENCE DIRECTOR",
        "authorized_official_telephone_number": "812-275-2468",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.