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NEWBURGH
NPI 1437453495
Assisted Living Facility in Newburgh, IN

Active since January 06, 2011CLIA Certified · 2 labs
5311 ROSEBUD LN, NEWBURGH, IN 47630(812) 479-5585 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newburgh NPPES

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

NEWBURGH (NPI 1437453495) is a healthcare organization registered as an assisted living facility in Newburgh, Indiana and active in the NPI registry since January 2011. The organization holds 2 active CLIA laboratory certificates and lists W. Bryan Hudson, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1437453495
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameA2002 SENIOR, LLC
Location Address5311 ROSEBUD LNNewburgh, IN 47630-9286
Mailing Address5311 Rosebud LnNewburgh, IN 47630-9286 · (812) 479-5585
Phone(812) 479-5585
Organization SubpartYes
Authorized OfficialW. Bryan HudsonGeneral Counsel · (502) 779-7683
Enumeration DateJanuary 6, 2011
✔ NPI 1437453495 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.
5311 ROSEBUD LN, Newburgh, IN 47630
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Other Names 1

Doing Business AsNewburgh

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 15D2122453

Newburgh Retirement, LLC Dba Primrose Of Newburgh · Newburgh, IN
Active · expires Nov 28, 2026
CLIA Number15D2122453
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorCasey Long
Laboratory Phone(605) 725-3959
Laboratory LocationNewburgh Retirement, LLC Dba Primrose Of Newburgh9800 Lincoln Ave, Newburgh, IN 47630
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 15D2264876

Newburgh Dermatology · Newburgh, IN
Active · expires Nov 22, 2026
CLIA Number15D2264876
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorArtis P. Truett
Laboratory Phone(270) 852-8072
Laboratory LocationNewburgh Dermatology10788 Stahl Road, Newburgh, IN 47630
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

KARA HOHIMER
Physical Therapist
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (812) 618-9685
RACHEL CLOUTIER MS, OTR/L
Occupational Therapist
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (812) 479-5585
JORDAN STIELER PTA
Physical Therapy Assistant
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (812) 618-9685
CHERYL E MACKE PT
Physical Therapist
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (610) 991-2034
AUDRA GROENINGER OTR/L
Occupational Therapist
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (844) 325-8230
DANIELLE NOREEN LASLEY MS, OTR/L
Occupational Therapist (Pediatrics)
5311 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (812) 909-1961

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 A2002 Senior, LLC's NPI number?

The NPI number for A2002 Senior, LLC is 1437453495. It was assigned to this organization in the NPPES registry on January 6, 2011. The provider is doing business as Newburgh.

Where is A2002 Senior, LLC located?

A2002 Senior, LLC is located at 5311 Rosebud Ln, Newburgh, IN 47630. The listed phone number is (812) 479-5585.

What is A2002 Senior, LLC's specialty?

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

Does A2002 Senior, 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 A2002 Senior, LLC was last updated on January 6, 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.