RESTORED LIFE HEALTH NETWORK
NPI 1487430864
Clinic/Center - Multi-Specialty in Kokomo, IN
About Restored Life Health Network NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORED LIFE HEALTH NETWORK (NPI 1487430864) is a healthcare organization registered as a multi-specialty in Kokomo, Indiana and active in the NPI registry since September 2023. The organization holds an CLIA Accreditation certificate valid through September 14, 2027, maintains a secondary practice location in Kokomo, and lists David Christenson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Restored Life Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Restored Life Health Network, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Accreditation 15D2330360
Restored Life Health Network · Kokomo, INFrequently 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 Restored Life Health Network's NPI number?
The NPI number for Restored Life Health Network is 1487430864. It was assigned to this organization in the NPPES registry on September 1, 2023.
Where is Restored Life Health Network located?
Restored Life Health Network is located at 302 S Reed Rd, Kokomo, IN 46901. The listed phone number is (765) 780-7689.
What is Restored Life Health Network's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Restored Life Health Network enrolled in Medicare?
Yes. Restored Life Health Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Restored Life Health Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Restored Life Health Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Psychiatry (2) and Clinical Social Worker (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Restored Life Health Network hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 15D2330360) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Restored Life Health Network accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Restored Life Health Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Restored Life Health Network 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 11 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.
# Restored Life Health Network · NPI 1487430864
Multi-Specialty organization in Kokomo, Indiana. Organization record, active in the CMS NPPES registry since September 1, 2023.
## Identity
- **NPI:** 1487430864 (Entity type: Organization)
- **Enumerated:** September 1, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** David Christenson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 302 S REED RD, Kokomo, IN 46901-4900
- **Phone:** (765) 780-7689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Psychiatry (2), Clinical Social Worker (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2025
- **Other identifiers:** Other 15D2330360 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487430864) · Data from the CMS NPPES public registry.