# THE WATERS OF NEW CASTLE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528006947
- **Authorized official:** MR. MICHAEL BLISKO (CEO)
- **Authorized official phone:** (708) 449-1900

## Contact information

- **Practice address:** 1000 N 16TH ST, 3RD FLOOR, NEW CASTLE, IN 47362-4319
- **Practice address phone:** (765) 521-1420
- **Practice address fax:** (765) 521-1367
- **Mailing address:** 1000 N 16TH ST, 3RD FLOOR, NEW CASTLE, IN 47362-4319
- **Mailing address phone:** (765) 521-1420
- **Mailing address fax:** (765) 521-1367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000201-1 | IN | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 05/17/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000381426 | ANTHEM BCBS | IN |
| 01 | — | 000000391204 | ANTHEM OT | IN |
| 01 | — | 000000391205 | ANTHEM PT | IN |
| 05 | — | 100267910C | — | IN |