TAPESTRY MOON, LLC
NPI 1174373617
Assisted Living Facility in Coraopolis, PA

Active since March 26, 2024CLIA 39D2171026 · Waiver
550 CHERRINGTON PKWY, CORAOPOLIS, PA 15108(412) 507-9999(412) 595-5488 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tapestry Moon, Llc NPPES

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

TAPESTRY MOON, LLC (NPI 1174373617), doing business as Tapestry Senior Living Moon Township, is a healthcare organization registered as an assisted living facility in Coraopolis, Pennsylvania and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Teresa Pawlina, Chief Clinical Officer, Principal, as its authorized official.

NPPES Registry Identity

NPI1174373617
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTAPESTRY MOON, LLC
Location Address550 CHERRINGTON PKWYCoraopolis, PA 15108-4302
Mailing Address2001 Killebrew Dr Ste 100Bloomington, MN 55425-1884 · (952) 854-8800 · Fax (952) 854-4434
Fax(412) 595-5488
Organization SubpartNo
Authorized OfficialTeresa PawlinaChief Clinical Officer, Principal · (507) 398-9972
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1174373617 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.
550 CHERRINGTON PKWY, Coraopolis, PA 15108

Other Names 1

Doing Business AsTapestry Senior Living Moon Township

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 39D2171026

Tapestry Moon, LLC Dba Tapestry Senior Living Moon Twp · Coraopolis, PA
Active · expires Aug 22, 2027
CLIA Number39D2171026
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDr. Timothy L. Jackson
Laboratory Phone(412) 507-9999
Laboratory LocationTapestry Moon, LLC Dba Tapestry Senior Living Moon Twp550 Cherrington Parkway, Coraopolis, PA 15108
CLIA data matches this NPI record on: Address 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 Tapestry Moon, LLC's NPI number?

The NPI number for Tapestry Moon, LLC is 1174373617. It was assigned to this organization in the NPPES registry on March 26, 2024. The provider is doing business as Tapestry Senior Living Moon Township.

Where is Tapestry Moon, LLC located?

Tapestry Moon, LLC is located at 550 Cherrington Pkwy, Coraopolis, PA 15108. The listed phone number is (412) 507-9999.

What is Tapestry Moon, LLC's specialty?

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

Does Tapestry Moon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2171026) is associated with this NPI, valid through August 22, 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 Tapestry Moon, LLC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.