VOP REAGAN PARK LLC
NPI 1871383927
Assisted Living Facility in Avon, IN

Active since May 12, 2025CLIA 15D2076905 · Waiver
1176 KINGWOOD DR, AVON, IN 46123(260) 452-4896 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vop Reagan Park Llc NPPES

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

VOP REAGAN PARK LLC (NPI 1871383927), doing business as Traditions At Reagan Park, is a healthcare organization registered as an assisted living facility in Avon, Indiana and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Kris Peters, Director Of Business Office And Wai, as its authorized official.

NPPES Registry Identity

NPI1871383927
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVOP REAGAN PARK LLC
Location Address1176 KINGWOOD DRAvon, IN 46123-5501
Mailing Address1176 Kingwood DrAvon, IN 46123-5501 · (260) 452-4896
Organization SubpartNo
Authorized OfficialKris PetersDirector Of Business Office And Wai · (260) 452-4896
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1871383927 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.
1176 KINGWOOD DR, Avon, IN 46123

Other Names 1

Doing Business AsTraditions At Reagan Park

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 15D2076905

Shp V Reagan Park, LLC Dba Traditions At Reagan Park · Avon, IN
Active · expires Apr 28, 2028
CLIA Number15D2076905
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorRyan Kinzie
Laboratory Phone(317) 271-0100
Laboratory LocationShp V Reagan Park, LLC Dba Traditions At Reagan Park1176 Kingwood Dr, Avon, IN 46123
CLIA data matches this NPI record on: Address Name
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.

Assisted Living Facility
1176 KINGWOOD DR
AVON, IN 46123

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 Vop Reagan Park LLC's NPI number?

The NPI number for Vop Reagan Park LLC is 1871383927. It was assigned to this organization in the NPPES registry on May 12, 2025. The provider is doing business as Traditions at Reagan Park.

Where is Vop Reagan Park LLC located?

Vop Reagan Park LLC is located at 1176 Kingwood Dr, Avon, IN 46123. The listed phone number is (260) 452-4896.

What is Vop Reagan Park LLC's specialty?

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

Does Vop Reagan Park LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2076905) is associated with this NPI, valid through April 28, 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 Vop Reagan Park LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.