COUNTRY CHARM VILLAGE LLC (NPI# 1225397011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225397011 |
| Entity Type | Organization |
| Organization Name | COUNTRY CHARM VILLAGE LLC |
| Practice Address |
7212 Us 31 S Indianapolis IN 46227-8549 |
| Mailing Address |
7212 U.S. Hwy 31 S. Indianapolis IN 46227-8549 |
| Practice Telephone | 3178899822 |
| Practice Fax Number | 3178896500 |
| Mailing Telephone | 3178899822 |
| Mailing Fax Number | 3178896500 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | MR. C. DIEDERICK VAN DER VELDE (PRESIDENT) |
| Authorized Official Telephone | 5025007798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 12-003283-1 | IN | Nursing & Custodial Care Facilities |
| Street Address |
7212 US 31 S |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-8549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144341629 | Emeritus Properties Ngh, LLC | Alzheimer Center (Dementia Center) | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2007-04-03 |
| 1043588908 | Michelle Diane Mckinney | Physical Therapist | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2011-12-07 |
| 1689979007 | Laura C Mayer | Occupational Therapist | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2011-01-14 |
| 1710122478 | Carol Blume | Occupational Therapist | 7212 Us 31 S, Indianapolis, IN 46227-8549 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 |
| 1093360984 | Glasswater Creek of Plainfield, LLC | Assisted Living Facility | 10480 Glasswater Rd, Indianapolis, IN 46231-0001 | 2019-08-07 |
| 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 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on COUNTRY CHARM VILLAGE LLC.
| 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.