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GRACE RECOVERY AND WELLNESS LLC
NPI 1881157329
Substance Abuse Rehabilitation Facility in Anderson, IN

Active since April 11, 2019CLIA 15D2292438 · Waiver
1400 BROADWAY ST, ANDERSON, IN 46012(888) 228-5485(765) 393-2563 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2022, Apr 11, 2019 (2 updates tracked since 2019).

About Grace Recovery And Wellness Llc NPPES

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

GRACE RECOVERY AND WELLNESS LLC (NPI 1881157329) is a healthcare organization registered as a substance abuse rehabilitation facility in Anderson, Indiana and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Robert Slack, Director Of It, as its authorized official.

NPPES Registry Identity

NPI1881157329
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRACE RECOVERY AND WELLNESS LLC
Location Address1400 BROADWAY STAnderson, IN 46012-2535
Mailing Address1400 Broadway StAnderson, IN 46012-2535 · (888) 228-5485 · Fax (765) 393-2563
Phone(888) 228-5485
Fax(765) 393-2563
Organization SubpartNo
Authorized OfficialRobert SlackDirector Of It · (888) 228-5485
Enumeration DateApril 11, 2019
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1881157329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1400 BROADWAY ST, Anderson, IN 46012
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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 15D2292438

Grace Recovery And Wellness · Columbus, IN
Active · expires Oct 24, 2027
CLIA Number15D2292438
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorKarl Lazar
Laboratory Phone(888) 228-5485
Laboratory LocationGrace Recovery And Wellness300 Hope Ave Ste B, Columbus, IN 47201
CLIA data matches this NPI record on: Name Phone
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.

GRACE RECOVERY AND WELLNESS LLC
Substance Abuse Rehabilitation Facility
1400 BROADWAY ST
ANDERSON, IN 46012
Madison County (888) 228-5485

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 Grace Recovery And Wellness LLC's NPI number?

The NPI number for Grace Recovery And Wellness LLC is 1881157329. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Grace Recovery And Wellness LLC located?

Grace Recovery And Wellness LLC is located at 1400 Broadway St, Anderson, IN 46012. The listed phone number is (888) 228-5485.

What is Grace Recovery And Wellness LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Grace Recovery And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2292438) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Recovery And Wellness LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.