Provider Demographics
NPI:1386155729
Name:HELLENIC SENIOR LIVING OF INDIANAPOLIS, LLC
Entity type:Organization
Organization Name:HELLENIC SENIOR LIVING OF INDIANAPOLIS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-845-3410
Mailing Address - Street 1:10706 SKY PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-7803
Mailing Address - Country:US
Mailing Address - Phone:317-845-3410
Mailing Address - Fax:317-288-0816
Practice Address - Street 1:8601 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6258
Practice Address - Country:US
Practice Address - Phone:317-855-4446
Practice Address - Fax:317-885-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility