SPRINGDALE
NPI 1598069478
Assisted Living Facility in Louisville, KY

Active since January 06, 2011CLIA 18D2247086 · Waiver
4501 SPRINGDALE RD, LOUISVILLE, KY 40241(502) 412-0222 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springdale NPPES

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

SPRINGDALE (NPI 1598069478) is a healthcare organization registered as an assisted living facility in Louisville, Kentucky and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Bryan Hudson, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1598069478
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameA2002 SENIOR, LLC
Location Address4501 SPRINGDALE RDLouisville, KY 40241-6121
Mailing Address4501 Springdale RdLouisville, KY 40241-6121 · (502) 412-0222
Organization SubpartYes
Authorized OfficialBryan HudsonGeneral Counsel · (502) 779-7683
Enumeration DateJanuary 6, 2011
NPI 1598069478 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.
4501 SPRINGDALE RD, Louisville, KY 40241

Other Names 1

Doing Business AsSpringdale

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 18D2247086

Springdale Owner, LLC Dba Vitality Living Springdale · Louisville, KY
Active · expires Jan 3, 2028
CLIA Number18D2247086
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorMr. Tobi Boedeker
Laboratory Phone(502) 412-0222
Laboratory LocationSpringdale Owner, LLC Dba Vitality Living Springdale4501 Springdale Rd, Louisville, KY 40241
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.

Physical Therapy Assistant
4501 SPRINGDALE RD
LOUISVILLE, KY 40241

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 A2002 Senior, LLC's NPI number?

The NPI number for A2002 Senior, LLC is 1598069478. It was assigned to this organization in the NPPES registry on January 6, 2011. The provider is doing business as Springdale.

Where is A2002 Senior, LLC located?

A2002 Senior, LLC is located at 4501 Springdale Rd, Louisville, KY 40241. The listed phone number is (502) 412-0222.

What is A2002 Senior, LLC's specialty?

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

Does A2002 Senior, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2247086) is associated with this NPI, valid through January 3, 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 A2002 Senior, LLC was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.