Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Waters of Sullivan Skilled Nursing Facility LLC

Organization Skilled Nursing Facility · NPI 1124736996

The Waters of Sullivan Skilled Nursing Facility LLC is a Skilled Nursing Facility in Sullivan, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 W Wolfe St
Sullivan, IN 47882-9224
Phone: (812) 268-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1124736996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Sax — Manager · (219) 898-5705
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address240 Fencl Ln, Hillside, IL 60162-2067

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