MEDICARE: ASSISTED LIVING CONCEPTS INC

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		IN

General Provider Information

NPI Number	:	1740475326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTED LIVING CONCEPTS INC

Provider Business Mailing Address
First Line	:	W140 N8981 LILLY ROAD
Second Line	:	ATTN LEGAL DEPARTMENT
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-2325
Country	:	US
Telephone Number	:	262-250-4500
Fax Number	:	262-251-7633

Provider Business Practice Location Address
First Line	:	2216 NORTH RILEY HIGHWAY
Second Line	:
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176
Country	:	US
Telephone Number	:	317-392-3370
Fax Number	:	317-421-0584

Authorized Official
Title or Position	:	VICE PRESIDENT CONTROLLER
Name	:	WALTER A LEVONOWICH
Credential	:
Telephone Number	:	262-250-4500

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	09/07/2007

Similar Medicare Providers

1386847101 — CYNTHIA L BUTLER AUD., CCC-A
Practice Location Address:

2451 INTELLIPLEX DR , STE 250
SHELBYVILLE, IN
46176-8580

Practice Phone: 317-844-7059
Practice Fax: 317-819-0044

1588519896 — ANCHOR COUNSELING LLC
Practice Location Address:

124 W FRANKLIN ST
SHELBYVILLE, IN
46176-1238

Practice Phone: 317-412-2054
Practice Fax:

1063368983 — ALIGNED PATH COUNSELING, LLC
Practice Location Address:

2177 INTELLIPLEX DR., ST. 221
SHELBYVILLE, IN
46176

Practice Phone: 317-395-8549
Practice Fax:

1679576789 — CHRIS L LOMAN M.D.
Practice Location Address:

2451 INTELLIPLEX DR STE 260
SHELBYVILLE, IN
46176-8580

Practice Phone: 317-398-0121
Practice Fax: 317-398-0538

1821091935 — JAMES L PETERS M.D.
Practice Location Address:

30 W RAMPART ST , STE 210
SHELBYVILLE, IN
46176-8897

Practice Phone: 317-398-0121
Practice Fax: 317-398-2335

1154324267 — VICTORIA A MARTIN-SMITH M.D.
Practice Location Address:

2120 INTELLIPLEX DR , STE 102
SHELBYVILLE, IN
46176-8547

Practice Phone: 317-421-5713
Practice Fax: 317-825-5321

1477558484 — MR. WILLIAM HAEHL MD
Practice Location Address:

30 W RAMPART ST , SUITE 210
SHELBYVILLE, IN
46176-8877

Practice Phone: 317-398-0121
Practice Fax: 317-398-2335

Directions to “ASSISTED LIVING CONCEPTS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.