THE WATERS OF SULLIVAN SKILLED NURSING FACILITY LLC
NPI 1124736996
Skilled Nursing Facility in Sullivan, IN

Active since November 10, 2022
505 W WOLFE ST, SULLIVAN, IN 47882(812) 268-6361 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Waters Of Sullivan Skilled Nursing Facility Llc NPPES

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

THE WATERS OF SULLIVAN SKILLED NURSING FACILITY LLC (NPI 1124736996) is a healthcare organization registered as a skilled nursing facility in Sullivan, Indiana and active in the NPI registry since November 2022. The organization lists Jeffrey Sax, Manager, as its authorized official.

NPPES Registry Identity

NPI1124736996
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE WATERS OF SULLIVAN SKILLED NURSING FACILITY LLC
Location Address505 W WOLFE STSullivan, IN 47882-9224
Mailing Address240 Fencl LnHillside, IL 60162-2067 · (708) 449-1900
Organization SubpartNo
Authorized OfficialJeffrey SaxManager · (219) 898-5705
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
NPI 1124736996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
505 W WOLFE ST, Sullivan, IN 47882

Other Providers at the Same Location NPPES 6

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

Occupational Therapy Assistant
505 W WOLFE ST
SULLIVAN, IN 47882
Occupational Therapist
505 W WOLFE ST
SULLIVAN, IN 47882
Physical Therapist
505 W WOLFE ST
SULLIVAN, IN 47882
Clinical Medical Laboratory
505 W WOLFE ST
SULLIVAN, IN 47882
Occupational Therapist
505 W WOLFE ST
SULLIVAN, IN 47882
Physical Therapy Assistant
505 W WOLFE ST
SULLIVAN, IN 47882

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 The Waters Of Sullivan Skilled Nursing Facility LLC's NPI number?

The NPI number for The Waters Of Sullivan Skilled Nursing Facility LLC is 1124736996. It was assigned to this organization in the NPPES registry on November 10, 2022.

Where is The Waters Of Sullivan Skilled Nursing Facility LLC located?

The Waters Of Sullivan Skilled Nursing Facility LLC is located at 505 W Wolfe St, Sullivan, IN 47882. The listed phone number is (812) 268-6361.

What is The Waters Of Sullivan Skilled Nursing Facility LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for The Waters Of Sullivan Skilled Nursing Facility LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.