GULL CREEK SENIOR LIVING COMMUNITY
NPI 1831672377
Assisted Living Facility in Berlin, MD

Q: What is Greenwich Investors Gull Creek Operator LLC's specialty?

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

Active since September 11, 2018CLIA 21D2204783 · Waiver

1 MEADOW ST, BERLIN, MD 21811(410) 641-3171(410) 641-0104 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Feb 14, 2020, Sep 4, 2019 and 1 more (4 updates tracked since 2018).

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About Gull Creek Senior Living Community NPPES

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

GULL CREEK SENIOR LIVING COMMUNITY (NPI 1831672377) is a healthcare organization registered as an assisted living facility in Berlin, Maryland and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Greg Echols, Co-president Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1831672377

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGREENWICH INVESTORS GULL CREEK OPERATOR LLC

Location Address1 MEADOW STBerlin, MD 21811-1309

Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380

Phone(410) 641-3171

Fax(410) 641-0104

Organization SubpartNo

Authorized OfficialGreg EcholsCo-president Of Management Agent · (779) 216-5849

Enumeration DateSeptember 11, 2018

Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1831672377 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.

1 MEADOW ST, Berlin, MD 21811

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Other Names 1

Doing Business AsGull Creek Senior 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 21D2204783

Gull Creek Senior Living Community · Berlin, MD

Active · expires Dec 9, 2026

CLIA Number21D2204783

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorAkrivi Maroulis

Laboratory Phone(410) 641-3171

Laboratory LocationGull Creek Senior Living Community1 Meadow St, Berlin, MD 21811

CLIA data matches this NPI record on: Address Name Phone

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 Greenwich Investors Gull Creek Operator LLC's NPI number?

The NPI number for Greenwich Investors Gull Creek Operator LLC is 1831672377. It was assigned to this organization in the NPPES registry on September 11, 2018. The provider is doing business as Gull Creek Senior Living Community.

Where is Greenwich Investors Gull Creek Operator LLC located?

Greenwich Investors Gull Creek Operator LLC is located at 1 Meadow St, Berlin, MD 21811. The listed phone number is (410) 641-3171.

What is Greenwich Investors Gull Creek Operator LLC's specialty?

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

Does Greenwich Investors Gull Creek Operator LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2204783) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greenwich Investors Gull Creek Operator LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.