Provider Demographics
NPI:1588491716
Name:ASSISTED CARE LIVING SOLUTIONS
Entity type:Organization
Organization Name:ASSISTED CARE LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:BELL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:317-998-6624
Mailing Address - Street 1:2705 ROTHE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-5517
Mailing Address - Country:US
Mailing Address - Phone:317-998-6624
Mailing Address - Fax:
Practice Address - Street 1:2705 ROTHE LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-5517
Practice Address - Country:US
Practice Address - Phone:317-998-6624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care