Organization · Type 2 NPI

Glasswater Creek of Plainfield, LLC

Assisted Living Facility · Indianapolis, IN

NPI number 1093360984 Active

Practice location

10480 Glasswater Rd
Indianapolis, IN 46231-0001

Call (317) 839-5808 Map

Fax (317) 839-5826

Mailing address

200 E Court St Ste 400
Kankakee, IL 60901-3848

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1093360984
Entity type: Organization (Type 2)
Issued: Aug 7, 2019
Last updated: Sep 24, 2026
Status: Active

Other names

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Glasswater Creek of Plainfield · doing business as
Glasswater Creek of Plainfield · doing business as

Authorized official

Greg Echols
Co-CEO of Management Agent
(815) 935-1992

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093360984

Glasswater Creek of Plainfield, LLC's National Provider Identifier is 1093360984, issued on Aug 7, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 24, 2026.