Provider Demographics
NPI:1891940979
Name:RITTENHOUSE SENIOR LIVING, LLC
Entity Type:Organization
Organization Name:RITTENHOUSE SENIOR LIVING, LLC
Other - Org Name:RITTENHOUSE SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-575-9200
Mailing Address - Street 1:1251 W 96TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1181
Mailing Address - Country:US
Mailing Address - Phone:317-575-9200
Mailing Address - Fax:317-575-8209
Practice Address - Street 1:1251 W 96TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1181
Practice Address - Country:US
Practice Address - Phone:317-575-9200
Practice Address - Fax:317-575-8209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08-003282-2310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200908970AMedicaid