CSL FORT WAYNE, LLC
NPI 1083036974
Assisted Living Facility in Fort Wayne, IN

Q: What is Capital Senior Living Properties 4, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 10, 2014

3320 EAST STATE BOULEVARD, FORT WAYNE, IN 46805(260) 483-4343(812) 406-1101 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Csl Fort Wayne, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CSL FORT WAYNE, LLC (NPI 1083036974) is a healthcare organization registered as an assisted living facility in Fort Wayne, Indiana and active in the NPI registry since January 2014. The organization lists Dan Kenyon, Vp And Secretary, as its authorized official.

NPPES Registry Identity

NPI1083036974

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCAPITAL SENIOR LIVING PROPERTIES 4, INC.

Location Address3320 EAST STATE BOULEVARDFort Wayne, IN 46805

Mailing Address3320 East State BoulevardFort Wayne, IN 46805 · (260) 483-4343 · Fax (812) 406-1101

Phone(260) 483-4343

Fax(812) 406-1101

Organization SubpartNo

Authorized OfficialDan KenyonVp And Secretary · (972) 770-5600

Enumeration DateJanuary 10, 2014

✔ NPI 1083036974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in IN · 13-012107-1

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3320 EAST STATE BOULEVARD, Fort Wayne, IN 46805

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Other Names 1

Doing Business AsCsl Fort Wayne, Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capital Senior Living Properties 4, Inc.'s NPI number?

The NPI number for Capital Senior Living Properties 4, Inc. is 1083036974. It was assigned to this organization in the NPPES registry on January 10, 2014. The provider is doing business as Csl Fort Wayne, LLC.

Where is Capital Senior Living Properties 4, Inc. located?

Capital Senior Living Properties 4, Inc. is located at 3320 East State Boulevard, Fort Wayne, IN 46805. The listed phone number is (260) 483-4343.

What is Capital Senior Living Properties 4, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Capital Senior Living Properties 4, Inc. was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.