# STATE OF INDIANA AUDITOR OF STATE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indiana Veterans' Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194778001
- **Authorized official:** LINDA SHARP (SUPERINTENDENT)
- **Authorized official phone:** (765) 463-1502

## Contact information

- **Practice address:** 3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3765
- **Practice address phone:** (765) 463-1502
- **Practice address fax:** (765) 497-8001
- **Mailing address:** 3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3765
- **Mailing address phone:** (765) 463-1502
- **Mailing address fax:** (765) 497-8001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 140011341 | IN | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 02/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200817200 | — | IN |