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The Waters of Sullivan Skilled Nursing Facility LLC

Skilled Nursing Facility in Sullivan, IN · enumerated 2022 · authorized official Jeffrey Sax, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124736996

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Registry record

Entity type Organization (Type 2)
Legal business name The Waters of Sullivan Skilled Nursing Facility LLC
Practice address 505 W Wolfe St, Sullivan, IN, 47882
Phone (812) 268-6361
Enumeration date Nov 10, 2022
Last updated in NPPES Nov 10, 2022

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jeffrey Sax
Title Manager
Phone (219) 898-5705

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for The Waters of Sullivan Skilled Nursing Facility LLC?
The NPI for The Waters of Sullivan Skilled Nursing Facility LLC is 1124736996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for The Waters of Sullivan Skilled Nursing Facility LLC?
NPPES lists Jeffrey Sax (Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-10.