Organization
COMMONS AT JACKSON CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI BERGHOFF (MEMBER/CEO)
(260) 740-3220
Entity
Organization
Contact information
Practice address
3802 S SARE RD, BLOOMINGTON, IN 47401-4794
(260) 740-3220
(260) 498-2059
Mailing address
5904 E STATE BLVD, FORT WAYNE, IN 46815-7637
(260) 740-3220
(260) 498-2059
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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