Residential Care XI L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RESIDENTIAL CARE XI L.L.C.

Practice address

10410 Allisonville Rd
Fishers, IN 46038-2017

Phone

(317) 436-6400

Fax

(317) 436-6401

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Steve Van Camp, CPA

Title

Cfo of ASC

Phone

(317) 788-2500

Specialties & licenses 1

Addresses

Other names 1

• Allisonville Meadows Assisted Living Doing business as

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": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1598379042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382017",
            "telephone_number": "317-436-6400",
            "fax_number": "317-436-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382017",
            "telephone_number": "317-436-6400",
            "fax_number": "317-436-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL CARE XI L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO OF ASC",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allisonville Meadows Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allisonville Meadows Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 25, 2020; 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.