A2002 SENIOR, LLC (NPI# 1437453495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437453495 |
| Entity Type | Organization |
| Organization Name | A2002 SENIOR, LLC |
| Other Organization Name | NEWBURGH |
| Practice Address |
5311 Rosebud Ln Newburgh IN 47630-9286 |
| Practice Telephone | 8124795585 |
| Mailing Telephone | 8124795585 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | MR. W. BRYAN HUDSON (GENERAL COUNSEL) |
| Authorized Official Telephone | 5027797683 |
| Is Organization Subpart | Y |
| Parent Organization Name | A2002 SENIOR, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Newburgh | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790089753 | A2002 Senior, LLC | Assisted Living Facility | 1 Penny Ln, Kennebunk, ME 04043-6635 | 2011-01-06 |
| 1407150469 | A2002 Senior, LLC | Assisted Living Facility | 3415 Sw 6th Ave, Topeka, KS 66606-0001 | 2011-01-06 |
| 1205130184 | A2002 Senior, LLC | Assisted Living Facility | 1745 W Macada Rd, Bethlehem, PA 18017-3575 | 2011-01-06 |
| 1427352392 | A2002 Senior, LLC | Assisted Living Facility | 1493 Richardson Dr, Richardson, TX 75080-4400 | 2011-01-06 |
| 1255645115 | A2002 Senior, LLC | Assisted Living Facility | 3451 S Hurstbourne Pkwy, Louisville, KY 40299-7398 | 2010-08-03 |
| 1598069478 | A2002 Senior, LLC | Assisted Living Facility | 4501 Springdale Rd, Louisville, KY 40241-6121 | 2011-01-06 |
| 1235433293 | A2002 Senior, LLC | Assisted Living Facility | 4720 Morrison Dr, Mobile, AL 36609-3321 | 2011-01-06 |
| Street Address |
5311 ROSEBUD LN |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730218090 | Cheryl E Macke | Physical Therapist | 5311 Rosebud Ln, Newburgh, IN 47630-9286 | 2007-03-05 |
| 1679134753 | Jordan Stieler | Physical Therapy Assistant | 5311 Rosebud Ln, Newburgh, IN 47630-9286 | 2019-06-27 |
| 1275015919 | Kara Hohimer | Physical Therapist | 5311 Rosebud Ln, Newburgh, IN 47630-9286 | 2018-08-29 |
| 1821582214 | Audra Groeninger | Occupational Therapist | 5311 Rosebud Ln, Newburgh, IN 47630-9286 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1821615444 | Newburgh Assisted Living, LLC | Assisted Living Facility | 4211 Grimm Rd, Newburgh, IN 47630-9444 | 2020-06-30 |
| 1104942663 | Alc Operating LLC | Assisted Living Facility | 4200 Wyntree Drive, Newburgh, IN 47630 | 2007-03-22 |
| 1588911846 | Riverview Hospital | Assisted Living Facility | 3800 Eli Pl, Newburgh, IN 47630-7436 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757747 | Auburn Senior Living LLC | Assisted Living Facility | 1675 W. 7th Street, Auburn, IN 46706-2530 | 2020-10-09 |
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1841804192 | Saint Anne Home of The Diocese of Fort Wayne-south Bend | Assisted Living Facility | 25 Victory Noll Dr, Huntington, IN 46750-9111 | 2020-09-03 |
| 1407460959 | Residential Care X L.L.C. | Assisted Living Facility | 7133 Meadow Trl, Brownsburg, IN 46112-1388 | 2020-09-02 |
| 1598379042 | Residential Care Xi L.L.C. | Assisted Living Facility | 10410 Allisonville Rd, Fishers, IN 46038-2017 | 2020-09-02 |
| 1003431461 | Residential Care Xiii L.L.C. | Assisted Living Facility | 741 Park East Blvd, Lafayette, IN 47905-0797 | 2020-06-11 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
| 1194358119 | Ev Fw Limited Partnership | Assisted Living Facility | 12523 Auburn Rd, Fort Wayne, IN 46845-8797 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on A2002 SENIOR, 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.