Vop Reagan Park LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VOP REAGAN PARK LLC

Doing business as

Traditions at Reagan Park

Practice address

1176 Kingwood Dr
Avon, IN 46123-5501

Phone

(260) 452-4896

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Kris Peters

Title

Director of Business Office and Wai

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Traditions at Reagan Park Doing business as

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1871383927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 KINGWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461235501",
            "telephone_number": "260-452-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 KINGWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461235501",
            "telephone_number": "260-452-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOP REAGAN PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE AND WAI",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions at Reagan Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions at Reagan Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Russell Venturini, M.D.
• Enilyn Villa, COTA
• Ashton Villarreal, RBT
• Vision Learning Center of Avon
• Brandi Volz
• Bryan Votaw
• Katherine Lincoln Wade, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2786)
• Wal-Mart Stores East, LP (Vision Center 30-2786)
• Walgreen Co (Walgreens #05753)

• Assisted Living Facility in Avon, IN
• Providers in Avon, 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 May 14, 2025; 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.