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TRADITIONS OF LEBANON
NPI 1609584739
Assisted Living Facility in Lebanon, OH

Active since November 08, 2022CLIA 36D2246265 · Waiver
401 NEIL ARMSTRONG WAY, LEBANON, OH 45036(317) 385-5818 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Nov 8, 2022 (2 updates tracked since 2022).

About Traditions Of Lebanon NPPES

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

TRADITIONS OF LEBANON (NPI 1609584739) is a healthcare organization registered as an assisted living facility in Lebanon, Ohio and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Kris Peters, Director Of Business Office & Waive, as its authorized official.

NPPES Registry Identity

NPI1609584739
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEBANON SENIOR LIVING, LLC
Location Address401 NEIL ARMSTRONG WAYLebanon, OH 45036-3526
Mailing Address802 E 86th StIndianapolis, IN 46240-1806
Phone(317) 385-5818
Organization SubpartNo
Authorized OfficialKris PetersDirector Of Business Office & Waive · (260) 452-4896
Enumeration DateNovember 8, 2022
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1609584739 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.
401 NEIL ARMSTRONG WAY, Lebanon, OH 45036
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Other Names 1

Doing Business AsTraditions Of Lebanon

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 36D2246265

Traditions Of Lebanon · Lebanon, OH
Active · expires Dec 21, 2027
CLIA Number36D2246265
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorJackie Karkiewicz
Laboratory Phone(513) 409-0900
Laboratory LocationTraditions Of Lebanon401 Neil Armstrong Way, Lebanon, OH 45036
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MISS DIANA LILLIAN POEPPELMAN
Physical Therapist
401 NEIL ARMSTRONG WAY
LEBANON, OH 45036
Warren County (513) 409-0900
SABRA MIDWEST OPERATIONS XII, LLC
Assisted Living Facility
401 NEIL ARMSTRONG WAY
LEBANON, OH 45036
Warren County (260) 452-4896

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 Lebanon Senior Living, LLC's NPI number?

The NPI number for Lebanon Senior Living, LLC is 1609584739. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Traditions Of Lebanon.

Where is Lebanon Senior Living, LLC located?

Lebanon Senior Living, LLC is located at 401 Neil Armstrong Way, Lebanon, OH 45036. The listed phone number is (317) 385-5818.

What is Lebanon Senior Living, LLC's specialty?

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

Does Lebanon Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2246265) is associated with this NPI, valid through December 21, 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 Lebanon Senior Living, LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.