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DBA WOOD RIDGE ASSISTED LIVING COMMUNITY
NPI 1801014147
Assisted Living Facility in South Bend, IN

Active since April 23, 2007CLIA 15D0901335 · Waiver
17650 GENERATIONS DR, SOUTH BEND, IN 46635(574) 271-1151(571) 271-2812 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba Wood Ridge Assisted Living Community NPPES

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

DBA WOOD RIDGE ASSISTED LIVING COMMUNITY (NPI 1801014147) is a healthcare organization registered as an assisted living facility in South Bend, Indiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Judith Elaine Hoese, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801014147
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTH BEND ASSISTED LIVING LLC
Location Address17650 GENERATIONS DRSouth Bend, IN 46635-1536
Mailing Address17650 Generations DrSouth Bend, IN 46635-1536 · (574) 271-1151 · Fax (571) 271-2812
Phone(574) 271-1151
Fax(571) 271-2812
Organization SubpartNo
Authorized OfficialJudith Elaine HoeseAdministrator · (574) 271-1151
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1801014147 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.
17650 GENERATIONS DR, South Bend, IN 46635
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Other Names 1

Doing Business AsDba Wood Ridge Assisted Living Community

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 15D0901335

Wood Ridge Assisted Living Community · South Bend, IN
Active · expires May 21, 2027
CLIA Number15D0901335
Laboratory TypeOther
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorJoan S. Ross
Laboratory Phone(574) 271-1151
Laboratory LocationWood Ridge Assisted Living Community17650 Generations Dr, South Bend, IN 46635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOODRIGE ALF OPERATIONS LLC
Assisted Living Facility
17650 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 271-1151

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 South Bend Assisted Living LLC's NPI number?

The NPI number for South Bend Assisted Living LLC is 1801014147. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Dba Wood Ridge Assisted Living Community.

Where is South Bend Assisted Living LLC located?

South Bend Assisted Living LLC is located at 17650 Generations Dr, South Bend, IN 46635. The listed phone number is (574) 271-1151.

What is South Bend Assisted Living LLC's specialty?

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

Does South Bend Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0901335) is associated with this NPI, valid through May 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 South Bend Assisted Living LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.