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KGC OPERATOR, INC.
NPI 1124717012
Assisted Living Facility in Bloomington, IN

Active since May 05, 2023
3802 S SARE RD, BLOOMINGTON, IN 47401(812) 330-0885 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kgc Operator, Inc. NPPES

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

KGC OPERATOR, INC. (NPI 1124717012), doing business as Brookdale Bloomington, is a healthcare organization registered as an assisted living facility in Bloomington, Indiana and active in the NPI registry since May 2023. The organization lists Anna F.c. Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1124717012
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKGC OPERATOR, INC.
Location Address3802 S SARE RDBloomington, IN 47401-4794
Mailing Address3802 S Sare RdBloomington, IN 47401-4794 · (812) 330-0885
Phone(812) 330-0885
Organization SubpartNo
Authorized OfficialAnna F.c. MunozAssistant Secretary · (414) 918-5443
Enumeration DateMay 5, 2023
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1124717012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
3802 S SARE RD, Bloomington, IN 47401
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Other Names 1

Doing Business AsBrookdale Bloomington

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMONS AT JACKSON CREEK LLC
Assisted Living Facility
3802 S SARE RD
BLOOMINGTON, IN 47401
Monroe County (260) 740-3220

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 Kgc Operator, Inc.'s NPI number?

The NPI number for Kgc Operator, Inc. is 1124717012. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Brookdale Bloomington.

Where is Kgc Operator, Inc. located?

Kgc Operator, Inc. is located at 3802 S Sare Rd, Bloomington, IN 47401. The listed phone number is (812) 330-0885.

What is Kgc Operator, 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 Kgc Operator, Inc. was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.