Kokomo BG Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KOKOMO BG OPCO LLC

Practice address

3025 W Sycamore St
Kokomo, IN 46901-4176

Phone

(765) 456-1490

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Peter Tarsney

Title

Authorized Signatory

Phone

(312) 725-7000

Specialties & licenses 1

Addresses

Other names 1

• Kokomo Place Doing business as

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1760937312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117605",
            "telephone_number": "312-725-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014176",
            "telephone_number": "765-456-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO BG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokomo Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G Koelsch, MD
• Rachel Koh, DDS
• Kokomo Academy
• Kokomo Ambulatory Surgery Center
• Kokomo Anesthesia Services Inc
• Kokomo Cab LLC
• Kokomo Center for Outpatient Surgery LLC
• Kokomo Chiropractic Care, PC
• Kokomo Chiropractic, PC
• Kokomo Endodontics Inc

• Assisted Living Facility in Kokomo, IN
• Providers in Kokomo, 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 Oct 20, 2016; 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.