HERITAGE WOODS OF NEWBURGH
NPI 1821615444
Assisted Living Facility in Newburgh, IN

Q: 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.

Q: What is Newburgh Assisted Living, LLC's specialty?

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

Active since June 30, 2020

4211 GRIMM RD, NEWBURGH, IN 47630(812) 853-9810(812) 853-9785 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 18, 2024, Oct 11, 2023, Jun 30, 2020 (3 updates tracked since 2020).

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About Heritage Woods Of Newburgh NPPES

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

HERITAGE WOODS OF NEWBURGH (NPI 1821615444) is a healthcare organization registered as an assisted living facility in Newburgh, Indiana and active in the NPI registry since June 2020. The organization lists Greg Echols, Co-president 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

Phone(812) 853-9810

Fax(812) 853-9785

Organization SubpartNo

Authorized OfficialGreg EcholsCo-president Of Management Company · (815) 935-1992

Enumeration DateJune 30, 2020

Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ 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

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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

Expired · Aug 4, 2026

CLIA Number15D2189781

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 5, 2024

Certificate Expiration DateAugust 4, 2026

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.

MS. GRETCHEN KENDAL KEY MSOT

Occupational Therapist