OrganizationActive
Lake Meadows Licensee LLC
NPI 1659994200 · Assisted Living Facility · Fishers, IN
Lake Meadows Licensee LLC is a Assisted Living Facility organization in Fishers, IN (NPI 1659994200).
Provider details
- NPI number
- 1659994200
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Person, Director of Business Development(260) 413-4159
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
11570 E 126th Street
Fishers, IN 46037
Phone: (260) 413-4159
Street-level locationGet directions
Mailing address
3630 Illinois Rd
Fort Wayne, IN 46804-2062
Other names (DBA / former)
- Doing business as
- Lake Meadows Senior Assisted Living
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2020-05-18
- Certified
- 2020-05-18
Frequently asked questions
- What is Lake Meadows Licensee LLC's NPI number?
- Lake Meadows Licensee LLC's National Provider Identifier (NPI) is 1659994200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Meadows Licensee LLC?
- Lake Meadows Licensee LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lake Meadows Licensee LLC located?
- Lake Meadows Licensee LLC's practice location on file with NPPES is 11570 E 126th Street, Fishers, IN 46037.
- What is Lake Meadows Licensee LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Meadows Licensee LLC is (260) 413-4159.
- Who is the authorized official for Lake Meadows Licensee LLC?
- The authorized official listed on Lake Meadows Licensee LLC's NPPES record is Ryan Person, Director of Business Development. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Meadows Licensee LLC's NPI active?
- Yes — Lake Meadows Licensee LLC's NPI (1659994200) is active in the NPPES registry as of the last update on 2020-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.