PARK PLACE SENIOR LIVING, LLC
NPI 1396034237
Assisted Living Facility in Fort Wayne, IN
About Park Place Senior Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK PLACE SENIOR LIVING, LLC (NPI 1396034237) is a healthcare organization registered as an assisted living facility in Fort Wayne, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Lachele R Henkle Weaver, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 15D2023114
Park Place Senior Living, LLC · Fort Wayne, INOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Park Place Senior Living, LLC's NPI number?
The NPI number for Park Place Senior Living, LLC is 1396034237. It was assigned to this organization in the NPPES registry on March 31, 2011.
Where is Park Place Senior Living, LLC located?
Park Place Senior Living, LLC is located at 4411 Park Place Dr, Fort Wayne, IN 46845. The listed phone number is (260) 480-2500.
What is Park Place Senior Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Park Place Senior Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2023114) is associated with this NPI, valid through April 14, 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 Park Place Senior Living, LLC was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Park Place Senior Living, Llc · NPI 1396034237
Assisted Living Facility organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since March 31, 2011.
## Identity
- **NPI:** 1396034237 (Entity type: Organization)
- **Enumerated:** March 31, 2011
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Lachele Henkle Weaver, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 4411 PARK PLACE DR, Fort Wayne, IN 46845-8793
- **Phone:** (260) 480-2500
## Record status
- **NPPES last updated:** March 31, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396034237) · Data from the CMS NPPES public registry.