VITA OF MARION LLC
NPI 1194442020
Assisted Living Facility in Marion, IN

Active since October 21, 2022CLIA 15D2267879 · Waiver
4211 S ADAMS ST, MARION, IN 46953(765) 303-2056 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vita Of Marion Llc NPPES

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

VITA OF MARION LLC (NPI 1194442020) is a healthcare organization registered as an assisted living facility in Marion, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bridgett Fitzgerald, Financial Project & Business Insura, as its authorized official.

NPPES Registry Identity

NPI1194442020
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVITA OF MARION LLC
Location Address4211 S ADAMS STMarion, IN 46953-5067
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Organization SubpartNo
Authorized OfficialBridgett FitzgeraldFinancial Project & Business Insura · (815) 935-1992
Enumeration DateOctober 21, 2022
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1194442020 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.
4211 S ADAMS ST, Marion, IN 46953

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 15D2267879

Vita Of Marion · Marion, IN
Active · expires Aug 31, 2026
CLIA Number15D2267879
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura M. Shorb
Laboratory Phone(765) 303-2056
Laboratory LocationVita Of Marion4211 S Adams Street, Marion, IN 46953
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 Vita Of Marion LLC's NPI number?

The NPI number for Vita Of Marion LLC is 1194442020. It was assigned to this organization in the NPPES registry on October 21, 2022.

Where is Vita Of Marion LLC located?

Vita Of Marion LLC is located at 4211 S Adams St, Marion, IN 46953. The listed phone number is (765) 303-2056.

What is Vita Of Marion LLC's specialty?

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

Does Vita Of Marion LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2267879) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vita Of Marion LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.