AVITA SENIOR LIVING AT DERBY
NPI 1396094470
Assisted Living Facility in Derby, KS
About Avita Senior Living At Derby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVITA SENIOR LIVING AT DERBY (NPI 1396094470) is a healthcare organization registered as an assisted living facility in Derby, Kansas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Fred Hermes, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
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 17D2191990
Derby Assisted Living · Derby, KSFrequently 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 Derby Assisted Living, LLC's NPI number?
The NPI number for Derby Assisted Living, LLC is 1396094470. It was assigned to this organization in the NPPES registry on September 5, 2012. The provider is doing business as Avita Senior Living At Derby.
Where is Derby Assisted Living, LLC located?
Derby Assisted Living, LLC is located at 719 N. Klein Circle, Derby, KS 67037. The listed phone number is (316) 260-4447.
What is Derby Assisted Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Derby Assisted Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2191990) is associated with this NPI, valid through September 2, 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 Derby Assisted Living, LLC was last updated on September 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.
