Organization Active NPI

Wabash Senior Opco, LLC

  • Assisted Living Facility
  • Wabash, IN
National Provider Identifier
1487467882
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WABASH SENIOR OPCO, LLC
Practice address
3037 W Division Rd
Wabash, IN 46992-8477
Phone
(317) 529-6187
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
James Kesler, HFA
Title
Cfo
Phone
(317) 529-6187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3037 W Division Rd
Wabash, IN 46992-8477

Mailing address

225 E Broadway St
Fortville, IN 46040-1504
Phone (317) 529-6187

Other names 1

  • 1019 Belles Place Wabash Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1487467882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY ST",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401504",
            "telephone_number": "317-529-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 W DIVISION RD",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469928477",
            "telephone_number": "317-529-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH SENIOR OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "KESLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-529-6187",
        "authorized_official_credential": "HFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1019 Belles Place Wabash",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.