GROVE CITY SENIOR LIVING, LLC
NPI 1417710138
Assisted Living Facility in Grove City, OH

Active since February 05, 2024CLIA 36D2254799 · Waiver
3615 GLACIAL LN, GROVE CITY, OH 43123(614) 957-0029 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Feb 5, 2024 (2 updates tracked since 2024).

About Grove City Senior Living, Llc NPPES

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

GROVE CITY SENIOR LIVING, LLC (NPI 1417710138) is a healthcare organization registered as an assisted living facility in Grove City, Ohio and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Kris Peters, Director Of Business Management, as its authorized official.

NPPES Registry Identity

NPI1417710138
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGROVE CITY SENIOR LIVING, LLC
Location Address3615 GLACIAL LNGrove City, OH 43123-3739
Mailing Address911 E 86th St Ste 103Indianapolis, IN 46240-1840 · (317) 669-8404
Organization SubpartNo
Authorized OfficialKris PetersDirector Of Business Management · (260) 452-4896
Enumeration DateFebruary 5, 2024
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1417710138 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.
3615 GLACIAL LN, Grove City, OH 43123

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 36D2254799

Grove City Senior Living By Traditions · Grove City, OH
Active · expires Mar 7, 2028
CLIA Number36D2254799
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorMeghan Siegel
Laboratory Phone(614) 957-0029
Laboratory LocationGrove City Senior Living By Traditions3615 Glacial Lane, Grove City, OH 43123
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 Grove City Senior Living, LLC's NPI number?

The NPI number for Grove City Senior Living, LLC is 1417710138. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Grove City Senior Living, LLC located?

Grove City Senior Living, LLC is located at 3615 Glacial Ln, Grove City, OH 43123. The listed phone number is (614) 957-0029.

What is Grove City Senior Living, LLC's specialty?

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

Does Grove City Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2254799) is associated with this NPI, valid through March 7, 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 Grove City Senior Living, LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.