PARKWAY GARDENS ASSISTED LIVING
NPI 1265744841
Assisted Living Facility in Fairview Heights, IL

Q: What is Fairview Heights Residential. LLC's NPI number?

The NPI number for Fairview Heights Residential. LLC is 1265744841. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is doing business as Parkway Gardens Assisted Living.

Q: What is Fairview Heights Residential. LLC's specialty?

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

Active since July 12, 2010CLIA 14D2017021 · Waiver

375 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208(618) 622-9940(618) 622-9945 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Parkway Gardens Assisted Living NPPES

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

PARKWAY GARDENS ASSISTED LIVING (NPI 1265744841) is a healthcare organization registered as an assisted living facility in Fairview Heights, Illinois and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists James Reiker, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1265744841

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFAIRVIEW HEIGHTS RESIDENTIAL. LLC

Location Address375 FOUNTAINS PKWYFairview Heights, IL 62208-2044

Mailing Address375 Fountains PkwyFairview Heights, IL 62208-2044 · (618) 622-9940 · Fax (618) 622-9945

Phone(618) 622-9940

Fax(618) 622-9945

Organization SubpartNo

Authorized OfficialJames ReikerTreasurer · (573) 471-1113

Enumeration DateJuly 12, 2010

✔ NPI 1265744841 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.

375 FOUNTAINS PKWY, Fairview Heights, IL 62208

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Other Names 1

Doing Business AsParkway Gardens Assisted Living

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 14D2017021

Parkway Garden Assited Living · Fairview Heights, IL

Active · expires Jul 21, 2027

CLIA Number14D2017021

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorLibby D. Carroll-Quarles

Laboratory Phone(618) 622-9940

Laboratory LocationParkway Garden Assited Living379 Fountains Parkway, Fairview Heights, IL 62208

CLIA data matches this NPI record on: 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 Fairview Heights Residential. LLC's NPI number?

The NPI number for Fairview Heights Residential. LLC is 1265744841. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is doing business as Parkway Gardens Assisted Living.

Where is Fairview Heights Residential. LLC located?

Fairview Heights Residential. LLC is located at 375 Fountains Pkwy, Fairview Heights, IL 62208. The listed phone number is (618) 622-9940.

What is Fairview Heights Residential. LLC's specialty?

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

Does Fairview Heights Residential. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2017021) is associated with this NPI, valid through July 21, 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 Fairview Heights Residential. LLC was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.