OrganizationActive
White River Lodge, Ltd
NPI 1922218031 · Skilled Nursing Facility · Bedford, IN
White River Lodge, Ltd is a Skilled Nursing Facility organization in Bedford, IN (NPI 1922218031).
Provider details
- NPI number
- 1922218031
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Premo, Administrator(812) 275-7006
- License
- 4843 (IN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3710 Kenny Simpson Ln
Bedford, IN 47421-5632
Phone: (812) 275-7006
Street-level locationGet directions
Mailing address
3710 Kenny Simpson Ln
Bedford, IN 47421-5632
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2012-01-06
Frequently asked questions
- What is White River Lodge, Ltd's NPI number?
- White River Lodge, Ltd's National Provider Identifier (NPI) is 1922218031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White River Lodge, Ltd?
- White River Lodge, Ltd is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is White River Lodge, Ltd located?
- White River Lodge, Ltd's practice location on file with NPPES is 3710 Kenny Simpson Ln, Bedford, IN 47421-5632.
- What is White River Lodge, Ltd's phone number?
- The practice phone number listed in the NPPES registry for White River Lodge, Ltd is (812) 275-7006.
- Who is the authorized official for White River Lodge, Ltd?
- The authorized official listed on White River Lodge, Ltd's NPPES record is Brenda Premo, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White River Lodge, Ltd's NPI active?
- Yes — White River Lodge, Ltd's NPI (1922218031) is active in the NPPES registry as of the last update on 2012-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.