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COMMONS AT JUDAY CREEK
NPI 1467343319
Assisted Living Facility in South Bend, IN

Active since July 10, 2025CLIA 15D0946426 · Waiver
17441 STATE ROUTE 23, SOUTH BEND, IN 46635(574) 273-2233 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commons At Juday Creek NPPES

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

COMMONS AT JUDAY CREEK (NPI 1467343319) is a healthcare organization registered as an assisted living facility in South Bend, Indiana and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Sherri Berghoff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467343319
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOMMONS AT JUDAY CREEK
Location Address17441 STATE ROUTE 23South Bend, IN 46635
Mailing Address5904 E State BlvdFort Wayne, IN 46815-7637 · (260) 740-3220
Phone(574) 273-2233
Organization SubpartNo
Authorized OfficialSherri BerghoffCeo · (260) 740-3220
Enumeration DateJuly 10, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1467343319 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.
17441 STATE ROUTE 23, South Bend, IN 46635
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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 15D0946426

Commons At Juday Creek, LLC · South Bend, IN
Active · expires May 25, 2028
CLIA Number15D0946426
Laboratory TypeOther
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorAllison Kingery
Laboratory Phone(260) 740-3220
Laboratory LocationCommons At Juday Creek, LLC17441 In-23, South Bend, IN 46635
CLIA data matches this NPI record on: 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 Commons At Juday Creek's NPI number?

The NPI number for Commons At Juday Creek is 1467343319. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Commons At Juday Creek located?

Commons At Juday Creek is located at 17441 State Route 23, South Bend, IN 46635. The listed phone number is (574) 273-2233.

What is Commons At Juday Creek's specialty?

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

Does Commons At Juday Creek hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0946426) is associated with this NPI, valid through May 25, 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 Commons At Juday Creek was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.