Healthcare Provider Details

I. General information

NPI: 1023112349
Provider Name (Legal Business Name): BHI SENIOR LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 BEARBERRY LN
INDIANAPOLIS IN
46268-3922
US

IV. Provider business mailing address

5415 BEARBERRY LN
INDIANAPOLIS IN
46268-3922
US

V. Phone/Fax

Practice location:
  • Phone: 317-873-3371
  • Fax: 317-873-4856
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 NumberNA
License Number StateIN

VIII. Authorized Official

Name: DEBORAH L. BLAIR
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 317-873-3371