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CREEKSIDE AT ELFINDALE
NPI 1033648274
Assisted Living Facility in Springfield, MO

Active since June 10, 2017CLIA 26D2217209 · Waiver
1601 S FORT AVE, SPRINGFIELD, MO 65807(417) 831-3828(417) 831-3899 Get Directions Write a Review

NPPES record last updated: June 10, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Creekside At Elfindale NPPES

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

CREEKSIDE AT ELFINDALE (NPI 1033648274) is a healthcare organization registered as an assisted living facility in Springfield, Missouri and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Jack D Vetter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033648274
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE AT ELFINDALE
Location Address1601 S FORT AVESpringfield, MO 65807-8430
Mailing Address20220 Harney StElkhorn, NE 68022-2063 · (402) 885-6120 · Fax (402) 895-8165
Phone(417) 831-3828
Fax(417) 831-3899
Organization SubpartNo
Authorized OfficialJack D VetterCeo · (402) 895-3932
Enumeration DateJune 10, 2017
✔ NPI 1033648274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MO · BUS-0017337
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.
1601 S FORT AVE, Springfield, MO 65807
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Other Names 1

Doing Business AsCreekside At Elfindale

CLIA Laboratory Certificates CMS CLIA

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 26D2217209

Vsl Springfield Assisted Living LLC Dba Creekside At Elfindale Assisted Living · Springfield, MO
Active · expires Mar 17, 2027
CLIA Number26D2217209
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorJessica Saad
Laboratory Phone(417) 831-3828
Laboratory LocationVsl Springfield Assisted Living LLC Dba Creekside At Elfindale Assisted Living1401 West Elfindale Street, Springfield, MO 65807
CLIA data matches this NPI record on: Name 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 Creekside At Elfindale's NPI number?

The NPI number for Creekside At Elfindale is 1033648274. It was assigned to this organization in the NPPES registry on June 10, 2017.

Where is Creekside At Elfindale located?

Creekside At Elfindale is located at 1601 S Fort Ave, Springfield, MO 65807. The listed phone number is (417) 831-3828.

What is Creekside At Elfindale's specialty?

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

Does Creekside At Elfindale hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2217209) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Creekside At Elfindale was last updated on June 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.