Sabra Midwest Operations IX LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SABRA MIDWEST OPERATIONS IX LLC

Doing business as

Meadow Brook Senior Living

Practice address

11011 Village Square LN
Fishers, IN 46038-4559

Phone

(317) 842-4215

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Meadow Brook Senior Living Doing business as

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1407678766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 VILLAGE SQUARE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 VILLAGE SQUARE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384559",
            "telephone_number": "317-842-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA MIDWEST OPERATIONS IX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "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": "Meadow Brook Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Russell, RD, LDN
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• Farhad Niaki Saberi, RPH
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• Kathy Saeger, NP
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• Amber Saffen, RN, MSN, FNP

• Assisted Living Facility in Fishers, IN
• Providers in Fishers, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.