CSL AUTUMN GLEN LLC
NPI 1811750565
Assisted Living Facility in Greencastle, IN

Active since February 05, 2024CLIA 15D2079353 · Waiver
98 N 10TH ST, GREENCASTLE, IN 46135(765) 653-6999 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Csl Autumn Glen Llc NPPES

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

CSL AUTUMN GLEN LLC (NPI 1811750565) is a healthcare organization registered as an assisted living facility in Greencastle, Indiana and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Dawn Mount, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1811750565
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCSL AUTUMN GLEN LLC
Location Address98 N 10TH STGreencastle, IN 46135-7512
Mailing Address14755 Preston Rd Ste 810Dallas, TX 75254-6815 · (972) 770-5600
Organization SubpartNo
Authorized OfficialDawn MountVp Operations · (972) 308-8338
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1811750565 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.
98 N 10TH ST, Greencastle, IN 46135

Other Names 1

Other NameCapital Senior Living Properties 4 Inc

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 15D2079353

Csl Autumn Glen · Greencastle, IN
Active · expires Jun 15, 2028
CLIA Number15D2079353
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorJennifer N. Horton
Laboratory Phone(765) 653-6999
Laboratory LocationCsl Autumn Glen98 N 10th St, Greencastle, IN 46135
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 2

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

Physical Therapist
98 N 10TH ST
GREENCASTLE, IN 46135
Physical Therapy Assistant
98 N 10TH ST
GREENCASTLE, IN 46135

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 Csl Autumn Glen LLC's NPI number?

The NPI number for Csl Autumn Glen LLC is 1811750565. It was assigned to this organization in the NPPES registry on February 5, 2024. The provider is also known as Capital Senior Living Properties 4 Inc.

Where is Csl Autumn Glen LLC located?

Csl Autumn Glen LLC is located at 98 N 10th St, Greencastle, IN 46135. The listed phone number is (765) 653-6999.

What is Csl Autumn Glen LLC's specialty?

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

Does Csl Autumn Glen LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2079353) is associated with this NPI, valid through June 15, 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 Csl Autumn Glen LLC was last updated on February 5, 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.