Skilled Care Of Indiana Llc

LBN: Lifespan Pharmacy Llc
Skilled Care Of Indiana Llc is an health care organization with primary practice located at 9900 Westpoint Drive Suite 100, Indianapolis IN 46256-3358. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lifespan Pharmacy Llc can be contacted via phone (317) 841-0388, or through Headley, Kathy L via phone (812) 961-2326.

Contact Information

Primary practice address
9900 Westpoint Drive Suite 100 Indianapolis IN 46256-3358
Phone: (317) 841-0388
Fax: (317) 841-0733
Website:
Map and Directions
Authorized official contact:
Name: Headley, Kathy L
Phone: (812) 961-2326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 600061169B Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093968448
LBN Legal business name Lifespan Pharmacy Llc
DBA Doing business as Skilled Care Of Indiana Llc
Authorized official Headley, Kathy L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2008
Last updated Feb 16th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093968448 NPPES
Other 2117622 PK
Other 60006848A PK
MEDICAID 200925240A PK
Other 60006848B PK
MEDICAID 200925240 PK

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