MCCORDSVILLE SENIOR LIVING, LLC
NPI 1639619919
Assisted Living Facility in Mccordsville, IN
About Mccordsville Senior Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCCORDSVILLE SENIOR LIVING, LLC (NPI 1639619919) is a healthcare organization registered as an assisted living facility in Mccordsville, Indiana and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Thomas Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 15D2125473
Mccordsville Senior Living LLC Dba Traditions At Brookside · Mccordsville, 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 Mccordsville Senior Living, LLC's NPI number?
The NPI number for Mccordsville Senior Living, LLC is 1639619919. It was assigned to this organization in the NPPES registry on March 6, 2017.
Where is Mccordsville Senior Living, LLC located?
Mccordsville Senior Living, LLC is located at 6311 W County Road 900 North, Mccordsville, IN 46055. The listed phone number is (317) 335-9900.
What is Mccordsville Senior Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Mccordsville Senior Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2125473) is associated with this NPI, valid through February 7, 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 Mccordsville Senior Living, LLC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mccordsville Senior Living, Llc · NPI 1639619919
Assisted Living Facility organization in Mccordsville, Indiana. Organization record, active in the CMS NPPES registry since March 6, 2017.
## Identity
- **NPI:** 1639619919 (Entity type: Organization)
- **Enumerated:** March 6, 2017
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Thomas Smith, PRESIDENT
## Practice location
- **Address:** 6311 W COUNTY ROAD 900 NORTH, Mccordsville, IN 46055
- **Phone:** (317) 335-9900
## Record status
- **NPPES last updated:** March 6, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639619919) · Data from the CMS NPPES public registry.