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SNH INDY TENANT LLC
NPI 1215666367
Assisted Living Facility in Kokomo, IN

Active since June 06, 2022
603 SAINT JOSEPH DR, KOKOMO, IN 46901(765) 868-3000(765) 868-3084 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Snh Indy Tenant Llc NPPES

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

SNH INDY TENANT LLC (NPI 1215666367), doing business as Jefferson Manor, is a healthcare organization registered as an assisted living facility in Kokomo, Indiana and active in the NPI registry since June 2022. The organization lists Richard W. Siedel, Cfo & Treasurer, as its authorized official.

NPPES Registry Identity

NPI1215666367
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH INDY TENANT LLC
Location Address603 SAINT JOSEPH DRKokomo, IN 46901-4189
Mailing Address603 Saint Joseph DrKokomo, IN 46901-4189 · (765) 868-3000 · Fax (765) 868-3084
Phone(765) 868-3000
Fax(765) 868-3084
Organization SubpartNo
Authorized OfficialRichard W. SiedelCfo & Treasurer · (617) 796-8350
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1215666367 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.

603 SAINT JOSEPH DR, Kokomo, IN 46901
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Other Names 1

Doing Business AsJefferson Manor

Frequently Asked Questions

What is SNH INDY TENANT LLC's NPI number?

The NPI number assigned to this healthcare provider is 1215666367, enumerated as an "organization" on June 06, 2022.

Where is the provider located?

The provider is located at 603 SAINT JOSEPH DR KOKOMO, IN 46901 and the phone number is (765) 868-3000.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.