CLARKSVILLE SENIOR LIVING, LLC
NPI 1578089942
Assisted Living Facility in Sellersburg, IN

Active since August 17, 2017CLIA 15D2123311 · Waiver
400 HUNTER STATION RD, SELLERSBURG, IN 47172(812) 748-5258 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clarksville Senior Living, Llc NPPES

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

CLARKSVILLE SENIOR LIVING, LLC (NPI 1578089942) is a healthcare organization registered as an assisted living facility in Sellersburg, Indiana and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Thomas Smith, President, as its authorized official.

NPPES Registry Identity

NPI1578089942
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLARKSVILLE SENIOR LIVING, LLC
Location Address400 HUNTER STATION RDSellersburg, IN 47172-1072
Mailing Address400 Hunter Station RdSellersburg, IN 47172-1072
Organization SubpartNo
Authorized OfficialThomas SmithPresident · (317) 669-8404
Enumeration DateAugust 17, 2017
NPI 1578089942 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.

400 HUNTER STATION RD, Sellersburg, IN 47172

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 15D2123311

Clarksville Senior Living, LLC · Sellersburg, IN
Active · expires Dec 18, 2026
CLIA Number15D2123311
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorKathy Jones
Laboratory Phone(812) 748-5258
Laboratory LocationClarksville Senior Living, LLC400 Hunter Station Rd, Sellersburg, IN 47172
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.

Assisted Living Facility
400 HUNTER STATION RD
SELLERSBURG, IN 47172

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578089942, enumerated as an "organization" on August 17, 2017.

The provider is located at 400 HUNTER STATION RD SELLERSBURG, IN 47172 and the phone number is (812) 748-5258.

Assisted Living Facility with taxonomy code 310400000X.