Basic Information
| Provider Information | |||||||||
| NPI: | 1013562164 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN SENIOR COMMUNITIES , L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6900 GRAY RD | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462373209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177882500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6900 GRAY RD | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462373209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177882500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2019 | ||||||||
| LastUpdateDate: | 08/06/2019 | ||||||||
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| AuthorizedOfficialLastName: | SABATINE | ||||||||
| AuthorizedOfficialFirstName: | CATHERINE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | ASSOCIATE GENERAL COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 3173755523 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.