CLARKSVILLE SENIOR LIVING, LLC (NPI# 1578089942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578089942 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE SENIOR LIVING, LLC |
| Practice Address |
400 Hunter Station Rd Sellersburg IN 47172-1072 |
| Practice Telephone | 8127485258 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | THOMAS SMITH (PRESIDENT) |
| Authorized Official Telephone | 3176698404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
400 HUNTER STATION RD |
| City | SELLERSBURG |
| State | IN |
| Zip Code | 47172-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008944 | Eva De Fiesta | Physical Therapist | Carefirst Rehab, 7225nova's Landing, Sellersburg, IN 47172 | 2019-11-21 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1447774971 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 State Route 311, Sellersburg, IN 47172 | 2017-07-26 |
| 1093251829 | Ronda Merryman-valiyi | Health Educator | 3010 Plum Woods Ct, Sellersburg, IN 47172 | 2017-01-18 |
| 1639422348 | Mary Mollerus | Pharmacist | 2853 Plantation Court, Sellersburg, IN 47172 | 2012-10-18 |
| 1518112929 | Joyce Marie Applegate | Dental Hygienist | 809 South Indiana Avenue, Sellersburg, IN 47172 | 2008-11-26 |
| 1265696041 | Linda Kaye Abell | Occupational Therapist | 7823 Old State Hwy 60, Sellersburg, IN 47172 | 2008-07-11 |
| 1154596252 | Ronald Lee Waggoner | Counselor | 635 W Utica St, Waggoners Counseling, Sellersburg, IN 47172 | 2008-04-29 |
| 1407995806 | Michael J Moskal | Orthopaedic Surgery | 130 Hunters Station Way, Suite 201, Sellersburg, IN 47172 | 2007-02-05 |
| 1689773343 | Designing Smiles Psc | Dentist | 7709 Highway 311, Sellersburg, IN 47172 | 2006-09-21 |
| Find all providers in zip 47172 | ||||
| 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 |
|---|---|---|---|---|
| 1356516207 | Antiquity Healthcare | Assisted Living Facility | 1319 Onward Way, Sellersburg, IN 47172-9447 | 2008-04-22 |
| 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 |
| 1821615444 | Newburgh Assisted Living, LLC | Assisted Living Facility | 4211 Grimm Rd, Newburgh, IN 47630-9444 | 2020-06-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSBURG |
| Zip Code | 47172 |
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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.