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BRECKENRIDGE COMMONS RESIDENTIAL FACILITY
NPI 1730552811
Assisted Living Facility in Sullivan, IN

Active since November 11, 2015CLIA 15D2071122 · Waiver
2009 N HOSPITAL BLVD, SULLIVAN, IN 47882(812) 268-2000(812) 268-2080 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2024, Nov 11, 2015 (2 updates tracked since 2015).

About Breckenridge Commons Residential Facility NPPES

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

BRECKENRIDGE COMMONS RESIDENTIAL FACILITY (NPI 1730552811) is a healthcare organization registered as an assisted living facility in Sullivan, Indiana and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Stuart Reed, Member, as its authorized official.

NPPES Registry Identity

NPI1730552811
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA HEALTH SYSTEMS 49, LLC
Location Address2009 N HOSPITAL BLVDSullivan, IN 47882-7658
Mailing Address8455 Keystone XingIndianapolis, IN 46240-4353 · (317) 818-1240 · Fax (317) 818-0720
Phone(812) 268-2000
Fax(812) 268-2080
Organization SubpartNo
Authorized OfficialStuart ReedMember · (317) 818-1240
Enumeration DateNovember 11, 2015
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1730552811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IN · 15-013401-1
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.
2009 N HOSPITAL BLVD, Sullivan, IN 47882
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Other Names 1

Doing Business AsBreckenridge Commons Residential Facility

Other Identifiers 1

Other15-013401-1IN · Indiana State Department Of Health License

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 15D2071122

Breckenridge Commons · Sullivan, IN
Active · expires Jan 2, 2028
CLIA Number15D2071122
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorErin Craig
Laboratory Phone(812) 268-2000
Laboratory LocationBreckenridge Commons2009 N Hospital Blvd, Sullivan, IN 47882
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Magnolia Health Systems 49, LLC's NPI number?

The NPI number for Magnolia Health Systems 49, LLC is 1730552811. It was assigned to this organization in the NPPES registry on November 11, 2015. The provider is doing business as Breckenridge Commons Residential Facility.

Where is Magnolia Health Systems 49, LLC located?

Magnolia Health Systems 49, LLC is located at 2009 N Hospital Blvd, Sullivan, IN 47882. The listed phone number is (812) 268-2000.

What is Magnolia Health Systems 49, LLC's specialty?

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

Does Magnolia Health Systems 49, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2071122) is associated with this NPI, valid through January 2, 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 Magnolia Health Systems 49, LLC was last updated on July 15, 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.