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LAKE MEADOWS LICENSEE LLC
NPI 1659994200
Assisted Living Facility in Fishers, IN

Active since May 18, 2020
11570 E 126TH STREET, FISHERS, IN 46037(260) 413-4159 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Meadows Licensee Llc NPPES

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

LAKE MEADOWS LICENSEE LLC (NPI 1659994200), doing business as Lake Meadows Senior Assisted Living, is a healthcare organization registered as an assisted living facility in Fishers, Indiana and active in the NPI registry since May 2020. The organization lists Ryan Person, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1659994200
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKE MEADOWS LICENSEE LLC
Location Address11570 E 126TH STREETFishers, IN 46037
Mailing Address3630 Illinois RdFort Wayne, IN 46804-2062
Phone(260) 413-4159
Organization SubpartNo
Authorized OfficialRyan PersonDirector Of Business Development · (260) 413-4159
Enumeration DateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1659994200 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.
11570 E 126TH STREET, Fishers, IN 46037
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Other Names 1

Doing Business AsLake Meadows Senior Assisted Living

Other Providers at the Same Location NPPES

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

CREATIVE HEALTH CARE MANAGEMENT LLC
Physical Therapist
11570 E 126TH STREET
FISHERS, IN 46037
Hamilton County (317) 579-0166

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 Lake Meadows Licensee LLC's NPI number?

The NPI number for Lake Meadows Licensee LLC is 1659994200. It was assigned to this organization in the NPPES registry on May 18, 2020. The provider is doing business as Lake Meadows Senior Assisted Living.

Where is Lake Meadows Licensee LLC located?

Lake Meadows Licensee LLC is located at 11570 E 126th Street, Fishers, IN 46037. The listed phone number is (260) 413-4159.

What is Lake Meadows Licensee 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 Lake Meadows Licensee LLC was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.