RESTORED LIFE HEALTH NETWORK
NPI 1487430864
Clinic/Center - Multi-Specialty in Kokomo, IN

Active since September 01, 2023CLIA 15D2330360 · Accreditation
302 S REED RD, KOKOMO, IN 46901(765) 780-7689 Get Directions Write a Review

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

Record update history: Dec 2, 2025, Nov 5, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2023).

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

NPI1487430864
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRESTORED LIFE HEALTH NETWORK
Location Address302 S REED RDKokomo, IN 46901-4900
Mailing Address302 S Reed RdKokomo, IN 46901-4900 · (765) 780-7689
Organization SubpartNo
Authorized OfficialDavid ChristensonExecutive Director · (765) 780-7689
Enumeration DateSeptember 1, 2023
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1487430864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
302 S REED RD, Kokomo, IN 46901

Secondary Practice Location 1

Location 11236 N Wabash AveKokomo, IN 46901-2604 · Phone (765) 780-7689

Other Identifiers 1

Other15D2330360CA · Cms

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, IN
Active · expires Sep 14, 2027
CLIA Number15D2330360
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJacqueline Hurt
Laboratory Phone(765) 789-7689
Laboratory LocationRestored Life Health Network302 S Reed Rd Suite 101, Kokomo, IN 46901
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Taxi
302 S REED RD
KOKOMO, IN 46901
Counselor (Mental Health)
302 S REED RD
KOKOMO, IN 46901

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 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.

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.

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 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.