EVERSIDE HEALTH, LLC
NPI 1457759219
Clinic/Center - Primary Care in Elkhart, IN

Active since December 10, 2014CLIA 15D2127588 · Waiver
2424 CALIFORNIA RD, ELKHART, IN 46514(574) 262-5800(574) 262-5803 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1457759219) is a healthcare organization registered as a primary care in Elkhart, Indiana and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1457759219
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address2424 CALIFORNIA RDElkhart, IN 46514-1226
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(574) 262-5803
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 10, 2014
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1457759219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2424 CALIFORNIA RD, Elkhart, IN 46514

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 15D2127588

Everside Health-Elkhart Schools · Elkhart, IN
Active · expires Mar 14, 2027
CLIA Number15D2127588
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorPatricia Jordan
Laboratory Phone(574) 262-5800
Laboratory LocationEverside Health-Elkhart Schools2424 California Road, Elkhart, IN 46514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2424 CALIFORNIA RD
ELKHART, IN 46514

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1457759219. It was assigned to this organization in the NPPES registry on December 10, 2014.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 2424 California Rd, Elkhart, IN 46514. The listed phone number is (574) 262-5800.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2127588) is associated with this NPI, valid through March 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 Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.