INDYWOOD ESTATE, LLC
NPI 1942559745
Assisted Living Facility in Cleveland, MS

Active since September 07, 2012
218 RONALDMAN RD, CLEVELAND, MS 38732(662) 843-7885(662) 843-7985 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indywood Estate, Llc NPPES

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

INDYWOOD ESTATE, LLC (NPI 1942559745) is a healthcare organization registered as an assisted living facility in Cleveland, Mississippi and active in the NPI registry since September 2012. The organization lists Sharon Harvey, Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1942559745
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDYWOOD ESTATE, LLC
Location Address218 RONALDMAN RDCleveland, MS 38732-8755
Mailing Address1416 Erie StGreenwood, MS 38930-2103 · (662) 455-3878 · Fax (662) 455-6171
Fax(662) 843-7985
Organization SubpartNo
Authorized OfficialSharon HarveyAssistant Manager · (662) 455-3878
Enumeration DateSeptember 7, 2012
NPI 1942559745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MS · 960
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.

218 RONALDMAN RD, Cleveland, MS 38732

Other Identifiers 1

Medicaid00037512MS

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 Indywood Estate, LLC's NPI number?

The NPI number for Indywood Estate, LLC is 1942559745. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Indywood Estate, LLC located?

Indywood Estate, LLC is located at 218 Ronaldman Rd, Cleveland, MS 38732. The listed phone number is (662) 843-7885.

What is Indywood Estate, 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 Indywood Estate, LLC was last updated on September 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.