THE LODGE AT MANITO, LLC
NPI 1457127409
Assisted Living Facility in Manito, IL
About The Lodge At Manito, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE LODGE AT MANITO, LLC (NPI 1457127409) is a healthcare organization registered as an assisted living facility in Manito, Illinois and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Joseph C Tutera, Manager, 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 14D2194874
The Lodge At Manito · Manito, ILOther 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 The Lodge At Manito, LLC's NPI number?
The NPI number for The Lodge At Manito, LLC is 1457127409. It was assigned to this organization in the NPPES registry on November 30, 2023.
Where is The Lodge At Manito, LLC located?
The Lodge At Manito, LLC is located at 1303 S East Ave, Manito, IL 61546. The listed phone number is (309) 968-5330.
What is The Lodge At Manito, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does The Lodge At Manito, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2194874) is associated with this NPI, valid through October 4, 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 The Lodge At Manito, LLC was last updated on November 30, 2023. 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.
# The Lodge At Manito, Llc · NPI 1457127409
Assisted Living Facility organization in Manito, Illinois. Organization record, active in the CMS NPPES registry since November 30, 2023.
## Identity
- **NPI:** 1457127409 (Entity type: Organization)
- **Enumerated:** November 30, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Joseph Tutera, MANAGER
## Practice location
- **Address:** 1303 S EAST AVE, Manito, IL 61546-8910
- **Phone:** (309) 968-5330
## Record status
- **NPPES last updated:** November 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457127409) · Data from the CMS NPPES public registry.