HAMILTON HOUSE
NPI 1093900672
Assisted Living Facility in Fort Wayne, IN

Active since September 07, 2007
2116 BUTLER ROAD, FORT WAYNE, IN 47150(260) 471-0944(260) 482-7476 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hamilton House NPPES

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

HAMILTON HOUSE (NPI 1093900672) is a healthcare organization registered as an assisted living facility in Fort Wayne, Indiana and active in the NPI registry since September 2007. The organization lists Walter A Levonowich, Vice President Controller, as its authorized official.

NPPES Registry Identity

NPI1093900672
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASSISTED LIVING CONCEPTS INC
Location Address2116 BUTLER ROADFort Wayne, IN 47150
Mailing AddressW140 N8981 Lilly Road, Attn Legal DepartmentMenomonee Falls, WI 53051-2325 · (262) 250-4500 · Fax (262) 251-7633
Fax(260) 482-7476
Organization SubpartNo
Authorized OfficialWalter A LevonowichVice President Controller · (262) 250-4500
Enumeration DateSeptember 7, 2007
NPI 1093900672 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.

2116 BUTLER ROAD, Fort Wayne, IN 47150

Other Names 1

Doing Business AsHamilton House

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 15D1050284

Cedar Creek Of Fort Wayne · Fort Wayne, IN
Expired · Jan 29, 2026
CLIA Number15D1050284
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 30, 2024
Certificate Expiration DateJanuary 29, 2026
Laboratory DirectorBelinda Branham
Laboratory Phone(260) 471-0944
Laboratory LocationCedar Creek Of Fort Wayne2116 Butler Road, Fort Wayne, IN 46808
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093900672, enumerated as an "organization" on September 07, 2007.

The provider is located at 2116 BUTLER ROAD FORT WAYNE, IN 47150 and the phone number is (260) 471-0944.

Assisted Living Facility with taxonomy code 310400000X.