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KINGSWAY COMMUNITY CARE CENTER
NPI 1134318553
Voluntary or Charitable in Avon, IN

Active since October 22, 2007CLIA 15D1040005 · Waiver
6722 E US HIGHWAY 36, AVON, IN 46123(317) 272-0708(317) 272-0918 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingsway Community Care Center NPPES

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

KINGSWAY COMMUNITY CARE CENTER (NPI 1134318553) is a healthcare organization registered as a voluntary or charitable in Avon, Indiana and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists John Mollaun P, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1134318553
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameKINGSWAY COMMUNITY CARE CENTER
Location Address6722 E US HIGHWAY 36Avon, IN 46123-8921
Mailing Address6722 E Us Highway 36Avon, IN 46123-8921 · (317) 272-0708 · Fax (317) 272-0918
Phone(317) 272-0708
Fax(317) 272-0918
Organization SubpartNo
Authorized OfficialJohn Mollaun PExecutive Director · (317) 272-0708
Enumeration DateOctober 22, 2007
✔ NPI 1134318553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
6722 E US HIGHWAY 36, Avon, IN 46123
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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 15D1040005

Kingsway Community Care Center · Avon, IN
Active · expires Apr 26, 2027
CLIA Number15D1040005
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorDr. Mark Lamb
Laboratory Phone(317) 272-0708
Laboratory LocationKingsway Community Care Center107 Park Pl Blvd, Avon, IN 46123
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 Kingsway Community Care Center's NPI number?

The NPI number for Kingsway Community Care Center is 1134318553. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Kingsway Community Care Center located?

Kingsway Community Care Center is located at 6722 E Us Highway 36, Avon, IN 46123. The listed phone number is (317) 272-0708.

What is Kingsway Community Care Center's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does Kingsway Community Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1040005) is associated with this NPI, valid through April 26, 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 Kingsway Community Care Center was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.