The Waters of Sullivan Skilled Nursing Facility LLC
NPI 1124736996 · Skilled Nursing Facility · Sullivan, IN
The Waters of Sullivan Skilled Nursing Facility LLC is a Skilled Nursing Facility organization in Sullivan, IN (NPI 1124736996).
Provider details
- NPI number
- 1124736996
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Sax, Manager(219) 898-5705
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Frequently asked questions
- What is The Waters of Sullivan Skilled Nursing Facility LLC's NPI number?
- The Waters of Sullivan Skilled Nursing Facility LLC's National Provider Identifier (NPI) is 1124736996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Waters of Sullivan Skilled Nursing Facility LLC?
- The Waters of Sullivan Skilled Nursing Facility LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is The Waters of Sullivan Skilled Nursing Facility LLC located?
- The Waters of Sullivan Skilled Nursing Facility LLC's practice location on file with NPPES is 505 W Wolfe St, Sullivan, IN 47882-9224.
- What is The Waters of Sullivan Skilled Nursing Facility LLC's phone number?
- The practice phone number listed in the NPPES registry for The Waters of Sullivan Skilled Nursing Facility LLC is (812) 268-6361.
- Who is the authorized official for The Waters of Sullivan Skilled Nursing Facility LLC?
- The authorized official listed on The Waters of Sullivan Skilled Nursing Facility LLC's NPPES record is Jeffrey Sax, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Waters of Sullivan Skilled Nursing Facility LLC's NPI active?
- Yes — The Waters of Sullivan Skilled Nursing Facility LLC's NPI (1124736996) is active in the NPPES registry as of the last update on 2022-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.