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ELKHART PLACE ASSISTED LIVING LLC
NPI 1780497735
Assisted Living Facility in Elkhart, IN

Active since January 31, 2025CLIA 15D1069100 · Waiver
2024 COUNTY ROAD 24 OFC, ELKHART, IN 46517(260) 740-3220 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elkhart Place Assisted Living Llc NPPES

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

ELKHART PLACE ASSISTED LIVING LLC (NPI 1780497735) is a healthcare organization registered as an assisted living facility in Elkhart, Indiana and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists Sherri Berghoff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780497735
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELKHART PLACE ASSISTED LIVING LLC
Location Address2024 COUNTY ROAD 24 OFCElkhart, IN 46517-9607
Mailing Address5904 E State BlvdFort Wayne, IN 46815-7637 · (260) 740-3220
Phone(260) 740-3220
Organization SubpartNo
Authorized OfficialSherri BerghoffCeo · (260) 740-3220
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1780497735 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.
2024 COUNTY ROAD 24 OFC, Elkhart, IN 46517
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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 15D1069100

Elkhart Place Assisted Living · Elkhart, IN
Active · expires May 28, 2027
CLIA Number15D1069100
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorTerri Mclemore
Laboratory Phone(260) 312-8082
Laboratory LocationElkhart Place Assisted Living2024 County Road 24, Elkhart, IN 46517
CLIA data matches this NPI record on: Address Name
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 Elkhart Place Assisted Living LLC's NPI number?

The NPI number for Elkhart Place Assisted Living LLC is 1780497735. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Elkhart Place Assisted Living LLC located?

Elkhart Place Assisted Living LLC is located at 2024 County Road 24 Ofc, Elkhart, IN 46517. The listed phone number is (260) 740-3220.

What is Elkhart Place Assisted Living LLC's specialty?

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

Does Elkhart Place Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1069100) is associated with this NPI, valid through May 28, 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 Elkhart Place Assisted Living LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.