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GRAND BROOK MEMORY CARE OF GREENWOOD LLC
NPI 1013512573
Assisted Living Facility in Greenwood, IN

Active since December 02, 2020CLIA Certified · 3 labs
2444 S STATE ROAD 135, GREENWOOD, IN 46143(317) 530-8033 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Brook Memory Care Of Greenwood Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND BROOK MEMORY CARE OF GREENWOOD LLC (NPI 1013512573) is a healthcare organization registered as an assisted living facility in Greenwood, Indiana and active in the NPI registry since December 2020. The organization holds 3 active CLIA laboratory certificates and lists Chad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1013512573
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND BROOK MEMORY CARE OF GREENWOOD LLC
Location Address2444 S STATE ROAD 135Greenwood, IN 46143-9446
Mailing Address7708 San Jacinto Pl Ste 100Plano, TX 75024-3206
Phone(317) 530-8033
Organization SubpartNo
Authorized OfficialChad AndersonPresident · (469) 331-8200
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1013512573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
2444 S STATE ROAD 135, Greenwood, IN 46143
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2168705

Grand Brook Memory Care Of Greenwood · Greenwood, IN
Active · expires Jul 7, 2027
CLIA Number15D2168705
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorMelissa Kerry
Laboratory Phone(469) 331-8200
Laboratory LocationGrand Brook Memory Care Of Greenwood2444 S State Road 135, Greenwood, IN 46143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2168775

Grand Brook Memory Care Of Zionsville · Zionsville, IN
Active · expires Jul 8, 2027
CLIA Number15D2168775
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorPatric Mcdowell
Laboratory Phone(469) 331-8200
Laboratory LocationGrand Brook Memory Care Of Zionsville11870 Sandy Dr, Zionsville, IN 46077
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2154544

Grand Brook Memory Care Of Fishers · Fishers, IN
Active · expires Sep 13, 2026
CLIA Number15D2154544
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorJamie R. Lopez
Laboratory Phone(469) 331-8200
Laboratory LocationGrand Brook Memory Care Of Fishers9796 131st Street, Fishers, IN 46038
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Brook Memory Care Of Greenwood LLC's NPI number?

The NPI number for Grand Brook Memory Care Of Greenwood LLC is 1013512573. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Grand Brook Memory Care Of Greenwood LLC located?

Grand Brook Memory Care Of Greenwood LLC is located at 2444 S State Road 135, Greenwood, IN 46143. The listed phone number is (317) 530-8033.

What is Grand Brook Memory Care Of Greenwood LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Grand Brook Memory Care Of Greenwood LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Grand Brook Memory Care Of Greenwood LLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.