Provider Demographics
NPI:1568572287
Name:BHI SENIOR LIVING, INC.
Entity Type:Organization
Organization Name:BHI SENIOR LIVING, INC.
Other - Org Name:FOUR SEASONS RETIREMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KEENAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-873-3371
Mailing Address - Street 1:5415 BEARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3922
Mailing Address - Country:US
Mailing Address - Phone:317-873-3371
Mailing Address - Fax:317-873-4856
Practice Address - Street 1:1901 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3908
Practice Address - Country:US
Practice Address - Phone:812-372-8481
Practice Address - Fax:812-378-6184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-000543-1314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN15-5471Medicare PIN