Provider Demographics
NPI:1700291143
Name:INDIANAPOLIS SENIOR CARE LLC
Entity Type:Organization
Organization Name:INDIANAPOLIS SENIOR CARE LLC
Other - Org Name:ROBIN RUN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOWD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-437-5800
Mailing Address - Street 1:1 VILLAGE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8232
Mailing Address - Country:US
Mailing Address - Phone:317-293-5500
Mailing Address - Fax:317-297-4443
Practice Address - Street 1:6370 ROBIN RUN W
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4051
Practice Address - Country:US
Practice Address - Phone:317-293-5500
Practice Address - Fax:317-297-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
155505Medicare Oscar/Certification