The Wyndmoor of Marion (in), LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE WYNDMOOR OF MARION (IN), LLC

Practice address

2452 W Kem Rd
Marion, IN 46952-6872

Phone

(765) 384-4500

Fax

(765) 384-4503

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lachele Henkle Weaver, HFA, MBA, CLSS

Title

Owner/Operator

Phone

(317) 258-7031

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1508411018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 W KEM RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469526872",
            "telephone_number": "765-384-4500",
            "fax_number": "765-384-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 W KEM RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469526872",
            "telephone_number": "765-384-4500",
            "fax_number": "765-384-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WYNDMOOR OF MARION (IN), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "HENKLE WEAVER",
        "authorized_official_first_name": "LACHELE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "317-258-7031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HFA, MBA, CLSS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH RESIDENTIAL CARE LICENSE",
            "identifier": "19-010682-1",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LaChele.Henkle@wyndmooralf.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2452 W Kem Rd",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469526872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Ann Templin, DO
• Garret Tenbarge, ATS
• Morgan Terry, RBT
• Dianna K Tetrick, RPH
• The Center for Sports & Physical Therapy
• Tara Thielen, RBT
• Aaliyah Thomas
• Emily E Thomas, MD
• Kathrine Thomas
• Alisa Denise Thompkins, CMT

• Assisted Living Facility in Marion, IN
• Providers in Marion, 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 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.