SUGAR GROVE ASSISTED LIVING, LLC
NPI 1164711099
Assisted Living Facility in Plainfield, IN

Active since March 31, 2011CLIA 15D2013091 · Waiver
5865 SUGAR LN, PLAINFIELD, IN 46168(317) 839-7900(317) 839-7985 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sugar Grove Assisted Living, Llc NPPES

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

SUGAR GROVE ASSISTED LIVING, LLC (NPI 1164711099) is a healthcare organization registered as an assisted living facility in Plainfield, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Lachele Rae Henkle Weaver, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1164711099
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUGAR GROVE SENIOR LIVING, LLC
Location Address5865 SUGAR LNPlainfield, IN 46168-8322
Mailing Address5865 Sugar LnPlainfield, IN 46168-8322 · (317) 839-7900 · Fax (317) 839-7985
Fax(317) 839-7985
Organization SubpartNo
Authorized OfficialLachele Rae Henkle WeaverDirector Of Operations · (317) 839-7900
Enumeration DateMarch 31, 2011
NPI 1164711099 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 IN · 11-012394-1
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.
5865 SUGAR LN, Plainfield, IN 46168

Other Names 1

Doing Business AsSugar Grove Assisted Living, Llc

Other Identifiers 1

Medicaid201010030IN

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 15D2013091

Sugar Grove Senior Living · Plainfield, IN
Active · expires Jun 29, 2027
CLIA Number15D2013091
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorAmber Hubbard
Laboratory Phone(317) 839-7900
Laboratory LocationSugar Grove Senior Living5868 Sugar Lane, Plainfield, IN 46168
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Physical Rehabilitation)
5865 SUGAR LN
PLAINFIELD, IN 46168
Assisted Living Facility
5865 SUGAR LN
PLAINFIELD, IN 46168
Occupational Therapist
5865 SUGAR LN
PLAINFIELD, IN 46168
Occupational Therapist
5865 SUGAR LN
PLAINFIELD, IN 46168

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 Sugar Grove Senior Living, LLC's NPI number?

The NPI number for Sugar Grove Senior Living, LLC is 1164711099. It was assigned to this organization in the NPPES registry on March 31, 2011. The provider is doing business as Sugar Grove Assisted Living, LLC.

Where is Sugar Grove Senior Living, LLC located?

Sugar Grove Senior Living, LLC is located at 5865 Sugar Ln, Plainfield, IN 46168. The listed phone number is (317) 839-7900.

What is Sugar Grove Senior Living, LLC's specialty?

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

Does Sugar Grove Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2013091) is associated with this NPI, valid through June 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 Sugar Grove Senior Living, LLC was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.