Clarksville Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLARKSVILLE SENIOR LIVING, LLC

Practice address

400 Hunter Station Rd
Sellersburg, IN 47172-1072

Phone

(812) 748-5258

NPI assigned

Aug 17, 2017

Last updated

Aug 17, 2017By 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

Thomas Smith

Title

President

Phone

(317) 669-8404

Specialties & licenses 1

Addresses

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1578089942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HUNTER STATION RD",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HUNTER STATION RD",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721072",
            "telephone_number": "812-748-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-669-8404"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chih Cheng Chang, MD
• Clark Memorial Hospital Urgent Care, Sellersburg
• Clark Physician Group LLC (Clark Memorial Hospital Urgent Care, Sellersburg)
• Sharon Kay Clemons
• Angela Coleman
• Lethia Annette Collins, FNP, RNFA
• William Joseph Collins, APRN
• Elizabeth Jane Cunningham, OTR/L

• Assisted Living Facility in Sellersburg, IN
• Providers in Sellersburg, 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 17, 2017; 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.