Fishers Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FISHERS OPERATOR, LLC

Practice address

11011 Village Square LN
Fishers, IN 46038-4559

Phone

(303) 360-8812

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey D. Kraus

Title

Manager

Phone

(303) 360-8812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1790361012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S SYRACUSE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 VILLAGE SQUARE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384559",
            "telephone_number": "303-360-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-360-8812"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fishers Eye Care, LLC
• Fishers Family Dental, LLC
• Fishers Family Dentistry, PC
• Fishers Family Physicians
• Fishers Family Vision Center Inc
• Fishers Oral & Maxillofacial Surgery
• Fishers Pediatric Dentistry
• Fishers Specialty Surgery Center, LLC
• Fishers Urgent Care LLC
• Erica Elizabeth Fisk, M.D.

• 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 Mar 18, 2021; 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.