GLASSWATER CREEK OF PLAINFIELD, LLC (NPI# 1093360984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093360984 |
| Entity Type | Organization |
| Organization Name | GLASSWATER CREEK OF PLAINFIELD, LLC |
| Other Organization Name | GLASSWATER CREEK OF PLAINFIELD |
| Practice Address |
10480 Glasswater Rd Indianapolis IN 46231-0001 |
| Mailing Address |
4882 N Convent St Bourbonnais IL 60914-1461 |
| Practice Telephone | 3178395808 |
| Practice Fax Number | 3178395826 |
| Mailing Telephone | 8159351992 |
| Mailing Fax Number | 8159358380 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | JOELLEN BLEAVINS (PRESIDENT OF MANAGEMENT AGENT) |
| Authorized Official Telephone | 8159351992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Glasswater Creek of Plainfield | Doing Business As Name - Organization |
| Street Address |
10480 GLASSWATER RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46231-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1740484831 | Willie Flowers | Counselor | 1933 Southwood Drive, Indianapolis, IN 46231 | 2007-06-12 |
| 1407068083 | Lula Coates | Social Worker | 10903 Miller Drive, Indianapolis, IN 46231 | 2007-05-04 |
| 1528197076 | Sitaram Investments, LLC | Dentist | 105 South Raceway Road, Suite 140, Indianapolis, IN 46231 | 2007-03-02 |
| 1932264744 | Julia Nolte | Optometrist | 77 S. Girl School Rd., 103, Indianapolis, IN 46231 | 2006-12-22 |
| 1497852115 | Elizabeth Meyers | Optometrist | 105 S Raceway Rd, Indpls, IN 46231 | 2006-09-17 |
| 1790926764 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 8201 W Washington St, Indianapolis, IN 46231 | 2009-03-20 |
| 1952812307 | Avon Trust Care, Inc. | Non-emergency Medical Transport (VAN) | 10608 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-10-12 |
| 1366965014 | Nwamaka Theresa Onochie | Counselor | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-07-24 |
| 1679183685 | S&n Home Care, LLC | Home Health | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2020-08-04 |
| Find all providers in zip 46231 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1235600412 | Oasis At 56th, L.p. | Assisted Living Facility | 4940 W 56th St, Indianapolis, IN 46254-1402 | 2018-12-16 |
| 1386155729 | Hellenic Senior Living of Indianapolis, LLC | Assisted Living Facility | 8601 Shelby St, Indianapolis, IN 46227-6258 | 2017-10-12 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1053790725 | Ritter Aal Senior Lp | Assisted Living Facility | 5651 E 30th St, Indianapolis, IN 46218-3309 | 2015-05-27 |
| 1386049278 | Solana Senior Living, LLC | Assisted Living Facility | 7721 Battery Pointe Way, Indianapolis, IN 46240-1393 | 2014-11-04 |
| 1780086082 | Rpm Indianapolis, LLC | Assisted Living Facility | 7960 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2014-09-18 |
| 1205164043 | Gods Will Hope & Support Services LLC | Assisted Living Facility | 6023 Coburn Ave, Indianapolis, IN 46228-1227 | 2009-12-04 |
| 1437399888 | Crownpointe Communities LLC | Assisted Living Facility | 7365 E 16th St, Indianapolis, IN 46219-2308 | 2009-02-25 |
| 1831335637 | Magnolia Health System Ix, Inc. | Assisted Living Facility | 55 Mission Dr, Indianapolis, IN 46214-5907 | 2008-12-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46231 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.