RESIDENTIAL CARE I, LLC (NPI# 1841365491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841365491 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL CARE I, LLC |
| Other Organization Name | CLEARWATER COMMONS |
| Practice Address |
4519 E 82nd St Indianapolis IN 46250-4241 |
| Practice Telephone | 3178492244 |
| Practice Fax Number | 3178496625 |
| Mailing Telephone | 3178492244 |
| Mailing Fax Number | 3178496625 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES G BURKHART (CEO) |
| Authorized Official Telephone | 3177882500 |
| Authorized Official Credential | CPA |
| 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 |
|---|---|
| Clearwater Commons | Doing Business As Name - Organization |
| Street Address |
4519 E 82ND ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629345137 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 4519 E 82nd St, Indianapolis, IN 46250-4241 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| 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 | 46250 |
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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.