OrganizationActive
Snh Indy Tenant LLC
NPI 1407585557 · Assisted Living Facility · Avon, IN
Provider details
- NPI number
- 1407585557
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Siedel, Cfo & Treasurer(617) 796-8350
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
6990 E County Road 100 N
Avon, IN 46123-9711
Phone: (317) 272-7300
Fax: (317) 272-7400
Street-level locationGet directions
Mailing address
6990 E County Road 100 N
Avon, IN 46123-9711
Other names (DBA / former)
- Doing business as
- Park Square Manor
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2022-06-06
- Certified
- 2022-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.