Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEWBURGH ASSISTED LIVING, LLC
NPI 1821615444
Assisted Living Facility in Newburgh, IN

Active since June 30, 2020CLIA 15D2189781 · Waiver
4211 GRIMM RD, NEWBURGH, IN 47630(812) 853-9810(812) 853-9785 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Sep 18, 2024, Oct 11, 2023 and 1 more (4 updates tracked since 2020).

About Newburgh Assisted Living, Llc NPPES

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

NEWBURGH ASSISTED LIVING, LLC (NPI 1821615444), doing business as Heritage Woods Of Newburgh, is a healthcare organization registered as an assisted living facility in Newburgh, Indiana and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 4, 2028 and lists Greg Echols, Co-ceo Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1821615444
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNEWBURGH ASSISTED LIVING, LLC
Location Address4211 GRIMM RDNewburgh, IN 47630-9444
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Fax(812) 853-9785
Organization SubpartNo
Authorized OfficialGreg EcholsCo-ceo Of Management Company · (815) 935-1992
Enumeration DateJune 30, 2020
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1821615444 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.
4211 GRIMM RD, Newburgh, IN 47630

Other Names 1

Doing Business AsHeritage Woods Of Newburgh

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 15D2189781

Newburgh Assisted Living, LLC · Newburgh, IN
Active · expires Aug 4, 2028
CLIA Number15D2189781
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorDiadree D. Jolly
Laboratory Phone(812) 853-9810
Laboratory LocationNewburgh Assisted Living, LLC4211 Grimm Road, Newburgh, IN 47630
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 5

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

Occupational Therapist
4211 GRIMM RD
NEWBURGH, IN 47630
Physical Therapist
4211 GRIMM RD
NEWBURGH, IN 47630
Occupational Therapist
4211 GRIMM RD
NEWBURGH, IN 47630
Occupational Therapist
4211 GRIMM RD
NEWBURGH, IN 47630
Occupational Therapist
4211 GRIMM RD
NEWBURGH, IN 47630

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 Newburgh Assisted Living, LLC's NPI number?

The NPI number for Newburgh Assisted Living, LLC is 1821615444. It was assigned to this organization in the NPPES registry on June 30, 2020. The provider is doing business as Heritage Woods of Newburgh.

Where is Newburgh Assisted Living, LLC located?

Newburgh Assisted Living, LLC is located at 4211 Grimm Rd, Newburgh, IN 47630. The listed phone number is (812) 853-9810.

What is Newburgh Assisted Living, LLC's specialty?

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

Does Newburgh Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2189781) is associated with this NPI, valid through August 4, 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 Newburgh Assisted Living, LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.