KOKOMO PLACE ASSISTED LIVING LLC
NPI 1073326021
Assisted Living Facility in Kokomo, IN
About Kokomo Place Assisted Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOKOMO PLACE ASSISTED LIVING LLC (NPI 1073326021) is a healthcare organization registered as an assisted living facility in Kokomo, Indiana and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Sherri Berghoff, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 15D0977601
Kokomo Place Assisted Living · Kokomo, INFrequently 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 Kokomo Place Assisted Living LLC's NPI number?
The NPI number for Kokomo Place Assisted Living LLC is 1073326021. It was assigned to this organization in the NPPES registry on January 31, 2025.
Where is Kokomo Place Assisted Living LLC located?
Kokomo Place Assisted Living LLC is located at 3025 W Sycamore St Ofc, Kokomo, IN 46901. The listed phone number is (765) 456-1490.
What is Kokomo Place Assisted Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Kokomo Place Assisted Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0977601) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kokomo Place Assisted Living LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Kokomo Place Assisted Living Llc · NPI 1073326021
Assisted Living Facility organization in Kokomo, Indiana. Organization record, active in the CMS NPPES registry since January 31, 2025.
## Identity
- **NPI:** 1073326021 (Entity type: Organization)
- **Enumerated:** January 31, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Sherri Berghoff, CEO
## Practice location
- **Address:** 3025 W SYCAMORE ST OFC, Kokomo, IN 46901-4177
- **Phone:** (765) 456-1490
## Record status
- **NPPES last updated:** January 31, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073326021) · Data from the CMS NPPES public registry.