Healthcare Provider Details

I. General information

NPI: 1932759073
Provider Name (Legal Business Name): BHI RETIREMENT COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019
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:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROGER WEIDEMAN
Title or Position: CFO
Credential:
Phone: 317-873-8221