Merrillville 7900 Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERRILLVILLE 7900 OPCO LLC

Practice address

7900 Rhode Island St
Merrillville, IN 46410-5666

Phone

(219) 525-4123

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 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

Stacey Hess

Title

Controller

Phone

(904) 534-9077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1457185076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3295",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320043295",
            "telephone_number": "904-534-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 RHODE ISLAND ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105666",
            "telephone_number": "219-525-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLVILLE 7900 OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "904-534-9077"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Merrillville, IN
• Providers in Merrillville, 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 Aug 27, 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.