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

EV BLOOMINGTON LIMITED PARTNERSHIP
NPI 1881104289
Assisted Living Facility in Bloomington, IN

Q: What is Ev Bloomington Limited Partnership's NPI number?

The NPI number for Ev Bloomington Limited Partnership is 1881104289. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Evergreen Village at Bloomington.

Q: What is Ev Bloomington Limited Partnership's specialty?

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

Active since October 11, 2017CLIA 15D2148859 · Waiver

3607 SOUTH HEIRLOOM DRIVE, BLOOMINGTON, IN 47401(812) 336-2719(812) 336-2723 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 24, 2026, Sep 18, 2024, Oct 11, 2023 and 3 more (6 updates tracked since 2017).

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About Ev Bloomington Limited Partnership NPPES

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

EV BLOOMINGTON LIMITED PARTNERSHIP (NPI 1881104289), doing business as Evergreen Village At Bloomington, is a healthcare organization registered as an assisted living facility in Bloomington, Indiana and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Greg Echols, Co-ceo Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1881104289

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEV BLOOMINGTON LIMITED PARTNERSHIP

Location Address3607 SOUTH HEIRLOOM DRIVEBloomington, IN 47401

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

Phone(812) 336-2719

Fax(812) 336-2723

Organization SubpartNo

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

Enumeration DateOctober 11, 2017

Last NPPES UpdateSeptember 24, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1881104289 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.

3607 SOUTH HEIRLOOM DRIVE, Bloomington, IN 47401

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Other Names 1

Doing Business AsEvergreen Village At Bloomington

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 15D2148859

Ev Bloomington Limited Partnership · Bloomington, IN

Active · expires May 20, 2028

CLIA Number15D2148859

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorNichole Mcnally

Laboratory Phone(812) 336-2718

Laboratory LocationEv Bloomington Limited Partnership3607 S Heirloom Dr, Bloomington, IN 47401

CLIA data matches this NPI record on: Address Name

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 Ev Bloomington Limited Partnership's NPI number?

The NPI number for Ev Bloomington Limited Partnership is 1881104289. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Evergreen Village at Bloomington.

Where is Ev Bloomington Limited Partnership located?

Ev Bloomington Limited Partnership is located at 3607 South Heirloom Drive, Bloomington, IN 47401. The listed phone number is (812) 336-2719.

What is Ev Bloomington Limited Partnership's specialty?

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

Does Ev Bloomington Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2148859) is associated with this NPI, valid through May 20, 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 Ev Bloomington Limited Partnership 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 11 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.