WHITE RIVER LODGE, LTD
NPI 1922218031
Skilled Nursing Facility in Bedford, IN

Active since May 23, 2007
3710 KENNY SIMPSON LN, BEDFORD, IN 47421(812) 275-7006 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White River Lodge, Ltd NPPES

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

WHITE RIVER LODGE, LTD (NPI 1922218031) is a healthcare organization registered as a skilled nursing facility in Bedford, Indiana and active in the NPI registry since May 2007. The organization lists Brenda Premo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922218031
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWHITE RIVER LODGE, LTD
Location Address3710 KENNY SIMPSON LNBedford, IN 47421-5632
Mailing Address3710 Kenny Simpson LnBedford, IN 47421-5632 · (812) 275-7006
Organization SubpartNo
Authorized OfficialBrenda PremoAdministrator · (812) 275-7006
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 6, 2012
NPI 1922218031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 4843
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.
3710 KENNY SIMPSON LN, Bedford, IN 47421

Other Identifiers 2

Medicare ID-Type Unspecified155631IN
Medicaid200155900AIN

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
3710 KENNY SIMPSON LN
BEDFORD, IN 47421

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 White River Lodge, Ltd's NPI number?

The NPI number for White River Lodge, Ltd is 1922218031. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is White River Lodge, Ltd located?

White River Lodge, Ltd is located at 3710 Kenny Simpson Ln, Bedford, IN 47421. The listed phone number is (812) 275-7006.

What is White River Lodge, Ltd'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 White River Lodge, Ltd was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.