Healthcare Provider Details

I. General information

NPI: 1568572287
Provider Name (Legal Business Name): BHI SENIOR LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 TAYLOR RD
COLUMBUS IN
47203-3908
US

IV. Provider business mailing address

5415 BEARBERRY LN
INDIANAPOLIS IN
46268-3922
US

V. Phone/Fax

Practice location:
  • Phone: 812-372-8481
  • Fax: 812-378-6184
Mailing address:
  • Phone: 317-873-3371
  • Fax: 317-873-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number06-000543-1
License Number StateIN

VIII. Authorized Official

Name: RICHARD H. KEENAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 317-873-3371