EV BLOOMINGTON LIMITED PARTNERSHIP (NPI# 1881104289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881104289 |
| Entity Type | Organization |
| Organization Name | EV BLOOMINGTON LIMITED PARTNERSHIP |
| Other Organization Name | EVERGREEN VILLAGE AT BLOOMINGTON |
| Practice Address |
3607 South Heirloom Drive Bloomington IN 47401 |
| Mailing Address |
4882 N Convent St Bourbonnais IL 60914-1461 |
| Practice Telephone | 8123362719 |
| Practice Fax Number | 8123362723 |
| Mailing Telephone | 8159351992 |
| Mailing Fax Number | 8159358380 |
| Enumeration Date | 2017-10-11 |
| 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 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Evergreen Village at Bloomington | Doing Business As Name - Organization |
| Street Address |
3607 SOUTH HEIRLOOM DRIVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1427304690 | Touchstone Wellness Center, Inc | Massage Therapist | 2864 E. Buick Cadillac Blvd, Bloomington, IN 47401 | 2012-07-25 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1881216430 | Prosper Home Health and Transportation | Assisted Living Facility | 10025 Colfax Ave S, Bloomington, MN 55431-3133 | 2020-05-16 |
| 1154794089 | Residential Care At Nine Mile Creek | Assisted Living Facility | 10641 James Rd, Bloomington, MN 55431-4130 | 2015-10-30 |
| 1053737213 | Bloomington Bethany Senior Housing,inc | Assisted Living Facility | 6600 Auto Club Rd, Bloomington, MN 55438-2425 | 2014-03-12 |
| 1235470907 | Tealwood Management, LLC | Assisted Living Facility | 7400 W 109th St, Bloomington, MN 55438-2374 | 2013-03-06 |
| 1295008787 | Nine Mile Catered Living | Assisted Living Facility | 2301 Village Ln, Bloomington, MN 55431-5810 | 2012-02-15 |
| 1992004071 | Breck Home Residential Care Center, LLC | Assisted Living Facility | 312 W 95th St, Bloomington, MN 55420-4311 | 2011-03-15 |
| 1154628915 | The James Inc Assited Living | Assisted Living Facility | 4533 Normandale Highlands Dr, Bloomington, MN 55437-2310 | 2011-02-14 |
| 1861721169 | Metropolitan Living, LLC | Assisted Living Facility | 1400 W 100th St, Bloomington, MN 55431-3125 | 2009-12-15 |
| 1760618607 | Metropolitan Living, LLC | Assisted Living Facility | 9230 5th Ave S, Bloomington, MN 55420-3812 | 2009-06-05 |
| 1568613594 | Nervana's Caring Hands Inc. | Assisted Living Facility | 8719 Bloomington Ave, Bloomington, MN 55425-1923 | 2008-10-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on EV BLOOMINGTON LIMITED PARTNERSHIP.
| 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.