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2339 SOUTH SR 135 TENANT LLC
NPI 1346062353
Assisted Living Facility in Greenwood, IN

Active since October 30, 2024
2339 SOUTH STATE STREET ROAD 135, GREENWOOD, IN 46143(317) 371-4803(317) 535-0425 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 2339 South Sr 135 Tenant Llc NPPES

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

2339 SOUTH SR 135 TENANT LLC (NPI 1346062353), doing business as Grand Victorian Of Greenwood, is a healthcare organization registered as an assisted living facility in Greenwood, Indiana and active in the NPI registry since October 2024. The organization lists Greg Echols, Co-president Of Its Management Agen, as its authorized official.

NPPES Registry Identity

NPI1346062353
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name2339 SOUTH SR 135 TENANT LLC
Location Address2339 SOUTH STATE STREET ROAD 135Greenwood, IN 46143
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Phone(317) 371-4803
Fax(317) 535-0425
Organization SubpartNo
Authorized OfficialGreg EcholsCo-president Of Its Management Agen · (779) 216-5849
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1346062353 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.

2339 SOUTH STATE STREET ROAD 135, Greenwood, IN 46143
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Other Names 1

Doing Business AsGrand Victorian Of Greenwood

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 2339 South Sr 135 Tenant LLC's NPI number?

The NPI number for 2339 South Sr 135 Tenant LLC is 1346062353. It was assigned to this organization in the NPPES registry on October 30, 2024. The provider is doing business as Grand Victorian of Greenwood.

Where is 2339 South Sr 135 Tenant LLC located?

2339 South Sr 135 Tenant LLC is located at 2339 South State Street Road 135, Greenwood, IN 46143. The listed phone number is (317) 371-4803.

What is 2339 South Sr 135 Tenant LLC'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 2339 South Sr 135 Tenant LLC was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.