OrganizationActive
1717 Senior Living, LLC
NPI 1609392422 · Assisted Living Facility · Indianapolis, IN
Provider details
- NPI number
- 1609392422
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Smith, President(317) 819-3205
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1703 West 86th Street
Indianapolis, IN 46260
Phone: (317) 876-2916
Approximate (ZIP-level) locationGet directions
Mailing address
1703 West 86th Street
Indianapolis, IN 46260
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.