MEDICARE: NEW ALBANY SENIOR PARTNERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1740044759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ALBANY SENIOR PARTNERS, LLC

Provider Business Mailing Address
First Line	:	4917 GRANT LINE RD
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-8833
Country	:	US
Telephone Number	:	930-256-0240
Fax Number	:	930-256-0241

Provider Business Practice Location Address
First Line	:	4917 GRANT LINE RD
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-8833
Country	:	US
Telephone Number	:	930-256-0240
Fax Number	:	930-256-0241

Authorized Official
Title or Position	:	EVP AND CLO
Name	:	CRISTINA PIETROWSKI
Credential	:
Telephone Number	:	502-412-5847

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	02/09/2024

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