Provider Demographics
NPI:1598109068
Name:CSL BATESVILLE LLC
Entity type:Organization
Organization Name:CSL BATESVILLE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-308-8338
Mailing Address - Street 1:44 CHATEAU BLVD.
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-5744
Mailing Address - Country:US
Mailing Address - Phone:812-932-8888
Mailing Address - Fax:812-932-8899
Practice Address - Street 1:44 CHATEAU BLVD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-5744
Practice Address - Country:US
Practice Address - Phone:812-932-8888
Practice Address - Fax:812-932-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12-006489-2310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility