GLASSWATER CREEK OF PLAINFIELD
NPI 1093360984
Assisted Living Facility in Indianapolis, IN

Q: What is Glasswater Creek Of Plainfield, LLC's NPI number?

The NPI number for Glasswater Creek Of Plainfield, LLC is 1093360984. It was assigned to this organization in the NPPES registry on August 7, 2019. The provider is doing business as Glasswater Creek Of Plainfield.

Q: What is Glasswater Creek Of Plainfield, LLC's specialty?

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

Active since August 07, 2019CLIA 15D2171432 · Waiver

10480 GLASSWATER RD, INDIANAPOLIS, IN 46231(317) 839-5808(317) 839-5826 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Oct 11, 2023, Feb 14, 2020 and 2 more (5 updates tracked since 2019).

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About Glasswater Creek Of Plainfield NPPES

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

GLASSWATER CREEK OF PLAINFIELD (NPI 1093360984) is a healthcare organization registered as an assisted living facility in Indianapolis, Indiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Greg Echols, Co-president Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1093360984

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGLASSWATER CREEK OF PLAINFIELD, LLC

Location Address10480 GLASSWATER RDIndianapolis, IN 46231-0001

Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380

Phone(317) 839-5808

Fax(317) 839-5826

Organization SubpartNo

Authorized OfficialGreg EcholsCo-president Of Management Agent · (815) 935-1992

Enumeration DateAugust 7, 2019

Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1093360984 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.

10480 GLASSWATER RD, Indianapolis, IN 46231

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Other Names 1

Doing Business AsGlasswater Creek Of Plainfield

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 15D2171432

Glasswater Creek Of Plainfield, LLC · Indianapolis, IN

Active · expires Aug 29, 2027

CLIA Number15D2171432

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 30, 2025

Certificate Expiration DateAugust 29, 2027

Laboratory DirectorJennifer D. Harmon

Laboratory Phone(317) 839-5808

Laboratory LocationGlasswater Creek Of Plainfield, LLC10480 Glasswater Lane, Indianapolis, IN 46231

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 Glasswater Creek Of Plainfield, LLC's NPI number?

The NPI number for Glasswater Creek Of Plainfield, LLC is 1093360984. It was assigned to this organization in the NPPES registry on August 7, 2019. The provider is doing business as Glasswater Creek Of Plainfield.

Where is Glasswater Creek Of Plainfield, LLC located?

Glasswater Creek Of Plainfield, LLC is located at 10480 Glasswater Rd, Indianapolis, IN 46231. The listed phone number is (317) 839-5808.

What is Glasswater Creek Of Plainfield, LLC's specialty?

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

Does Glasswater Creek Of Plainfield, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2171432) is associated with this NPI, valid through August 29, 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 Glasswater Creek Of Plainfield, LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.