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GLASSWATER CREEK OF LAFAYETTE
NPI 1285135244
Assisted Living Facility in Lafayette, IN

Active since February 26, 2018CLIA 15D2148761 · Waiver
208 BECK LN, LAFAYETTE, IN 47909(765) 477-1140(765) 477-1160 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Oct 11, 2023, Feb 14, 2020 and 2 more (5 updates tracked since 2018).

About Glasswater Creek Of Lafayette NPPES

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

GLASSWATER CREEK OF LAFAYETTE (NPI 1285135244) is a healthcare organization registered as an assisted living facility in Lafayette, Indiana and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Greg Echols, Co-president Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1285135244
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLASSWATER CREEK OF LAFAYETTE, LLC
Location Address208 BECK LNLafayette, IN 47909
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Phone(765) 477-1140
Fax(765) 477-1160
Organization SubpartNo
Authorized OfficialGreg EcholsCo-president Of Management Agent · (815) 935-1992
Enumeration DateFebruary 26, 2018
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1285135244 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.
208 BECK LN, Lafayette, IN 47909
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Other Names 1

Doing Business AsGlasswater Creek Of Lafayette

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 15D2148761

Glasswater Creek Of Lafayette LLC · Lafayette, IN
Active · expires May 17, 2028
CLIA Number15D2148761
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorLori Lindsey-Clarkston
Laboratory Phone(765) 477-1140
Laboratory LocationGlasswater Creek Of Lafayette LLC208 Beck Lane, Lafayette, IN 47909
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 Glasswater Creek Of Lafayette, LLC's NPI number?

The NPI number for Glasswater Creek Of Lafayette, LLC is 1285135244. It was assigned to this organization in the NPPES registry on February 26, 2018. The provider is doing business as Glasswater Creek Of Lafayette.

Where is Glasswater Creek Of Lafayette, LLC located?

Glasswater Creek Of Lafayette, LLC is located at 208 Beck Ln, Lafayette, IN 47909. The listed phone number is (765) 477-1140.

What is Glasswater Creek Of Lafayette, LLC's specialty?

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

Does Glasswater Creek Of Lafayette, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2148761) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glasswater Creek Of Lafayette, LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.