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EVERSIDE HEALTH, LLC
NPI 1356947535
Clinic/Center - Health Service in Lagrange, IN

Active since December 11, 2020CLIA Certified · 2 labs
2120 N DETROIT ST, LAGRANGE, IN 46761(260) 766-6190 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2022, Sep 9, 2021, Dec 11, 2020 (3 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1356947535) is a healthcare organization registered as a health service in Lagrange, Indiana and active in the NPI registry since December 2020. The organization holds 2 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1356947535
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address2120 N DETROIT STLagrange, IN 46761-1147
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(260) 766-6190
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 11, 2020
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1356947535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
2120 N DETROIT ST, Lagrange, IN 46761
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CLIA Laboratory Certificates CMS CLIA 2

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 15D2279989

Everside Health-Lagrange Phs · Lagrange, IN
Active · expires Apr 10, 2027
CLIA Number15D2279989
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorRobin Brauchla
Laboratory Phone(260) 766-6190
Laboratory LocationEverside Health-Lagrange Phs0305 S 1150 E, Lagrange, IN 46761
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2210628

Everside Health-Lagrange · Lagrange, IN
Active · expires Jan 21, 2027
CLIA Number15D2210628
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorBryon Thomas
Laboratory Phone(260) 766-6190
Laboratory LocationEverside Health-Lagrange2020 North Detroit Street, Lagrange, IN 46761
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 6

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

MRS. ABBY MARIE LEVITZ NP-C
Nurse Practitioner (Family)
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2468
MS. ARLENE R WORD-WHITE NP-C
Nurse Practitioner (Family)
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2468
MRS. SASHA DANIELLE PLANK FNP-C
Nurse Practitioner (Family)
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2468
ROBIN D BRAUCHLA NP
Nurse Practitioner (Family)
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 766-6190
REDI-CARE INC P C
Clinic/Center (Rural Health)
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2468
DR. DARYL L HERSHBERGER MD
Family Medicine
2120 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-2468

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1356947535. It was assigned to this organization in the NPPES registry on December 11, 2020.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 2120 N Detroit St, Lagrange, IN 46761. The listed phone number is (260) 766-6190.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Everside Health, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.