Healthcare Provider Details

I. General information

NPI: 1588597637
Provider Name (Legal Business Name): HERITAGE WOODS OF GREENBRIAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 SPOON DR
INDIANAPOLIS IN
46219-4230
US

IV. Provider business mailing address

200 E COURT ST STE 400
KANKAKEE IL
60901-3848
US

V. Phone/Fax

Practice location:
  • Phone: 317-899-6777
  • Fax: 317-899-2657
Mailing address:
  • Phone: 815-935-1992
  • Fax: 815-935-8380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE HORVE
Title or Position: MANAGING MEMBER
Credential:
Phone: 217-875-1362