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

White River Lodge, Ltd

Organization Skilled Nursing Facility · NPI 1922218031

White River Lodge, Ltd is a Skilled Nursing Facility in Bedford, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3710 Kenny Simpson Ln
Bedford, IN 47421-5632
Phone: (812) 275-7006
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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 · Licence 4843 (IN)

Record details

NPI number1922218031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Premo — Administrator · (812) 275-7006
NPI enumeratedMay 23, 2007
Last updated in NPPESJanuary 6, 2012
Mailing address3710 Kenny Simpson Ln, Bedford, IN 47421-5632

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