McCordsville Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MCCORDSVILLE SENIOR LIVING, LLC

Practice address

6311 W County Road 900 North
McCordsville, IN 46055

Phone

(317) 335-9900

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Smith

Title

President

Phone

(317) 819-3205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1639619919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401806",
            "telephone_number": "317-819-3205",
            "fax_number": "317-893-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 W COUNTY ROAD 900 NORTH",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-335-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORDSVILLE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-819-3205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lugo Services, LLC
• Robert Lugo, LMHC
• Janice S Lumnitz, MD
• McColley Eyecare Professional Corporation
• McCordsville Holistic Chiropractic Center
• McDonald Family Dentistry PC
• Sara McKinniss, PA-C
• Sean McNulty, DPT
• Nicole Tares McVea
• Meijer Stores Limited Partnership

• All providers in McCordsville, IN
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.