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.

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)

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

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 4843 (IN)
Nursing & Custodial Care Facilities

Profile Score

Detailed profile(90/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions