BRECKENRIDGE COMMONS RESIDENTIAL FACILITY
NPI 1730552811
Assisted Living Facility in Sullivan, IN
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
Specialties & Licenses
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.
Other Names 1
Other Identifiers 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2071122
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 03, 2026
- Certificate Expiration Date
- January 02, 2028
- Laboratory Director
- ERIN CRAIG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Breckenridge Commons Residential Facility to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730552811, enumerated as an "organization" on November 11, 2015.
The provider is located at 2009 N HOSPITAL BLVD SULLIVAN, IN 47882 and the phone number is (812) 268-2000.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
