PROVIVE WELLNESS OF GREENWOOD
NPI 1467314971
Substance Abuse Rehabilitation Facility in Greenwood, IN

Active since December 02, 2025CLIA 15D2339333 · Waiver
972 EMERSON PKWY STE A, GREENWOOD, IN 46143(347) 374-1767 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provive Wellness Of Greenwood NPPES

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

PROVIVE WELLNESS OF GREENWOOD (NPI 1467314971) is a healthcare organization registered as a substance abuse rehabilitation facility in Greenwood, Indiana and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Mayer Weber, Partner, as its authorized official.

NPPES Registry Identity

NPI1467314971
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROVIVE WELLNESS OF GREENWOOD
Location Address972 EMERSON PKWY STE AGreenwood, IN 46143-6202
Mailing Address15 Perlman Dr Ste 120Spring Valley, NY 10977-5281 · (347) 374-1767
Organization SubpartNo
Authorized OfficialMayer WeberPartner · (347) 374-1767
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1467314971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
972 EMERSON PKWY STE A, Greenwood, IN 46143

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 15D2339333

Provive Wellness · Greenwood, IN
Active · expires Feb 26, 2028
CLIA Number15D2339333
Laboratory TypeIndependent
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorRakesh Amin
Laboratory Phone(317) 943-5533
Laboratory LocationProvive Wellness972 Emerson Pkwy, Ste A, Greenwood, IN 46143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Substance Abuse Rehabilitation Facility
972 EMERSON PKWY STE A
GREENWOOD, IN 46143
Counselor (Addiction (Substance Use Disorder))
972 EMERSON PKWY STE A
GREENWOOD, IN 46143

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 Provive Wellness Of Greenwood's NPI number?

The NPI number for Provive Wellness Of Greenwood is 1467314971. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Provive Wellness Of Greenwood located?

Provive Wellness Of Greenwood is located at 972 Emerson Pkwy Ste A, Greenwood, IN 46143. The listed phone number is (347) 374-1767.

What is Provive Wellness Of Greenwood's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Provive Wellness Of Greenwood hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2339333) is associated with this NPI, valid through February 26, 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 Provive Wellness Of Greenwood was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.