Provider Demographics
NPI:1952832768
Name:BELVEDERE SLF LLC
Entity Type:Organization
Organization Name:BELVEDERE SLF LLC
Other - Org Name:BELVEDERE SENIOR HOUSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-PRESIDENT OF MANAGEMENT AGENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:779-216-5849
Mailing Address - Street 1:343 EAST 90TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410
Mailing Address - Country:US
Mailing Address - Phone:219-769-2145
Mailing Address - Fax:219-769-2726
Practice Address - Street 1:343 EAST 90TH DRIVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410
Practice Address - Country:US
Practice Address - Phone:219-769-2145
Practice Address - Fax:219-769-2726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility