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TRADITIONS AT BEAVERCREEK
NPI 1891403929
Assisted Living Facility in Beavercreek, OH

Active since November 08, 2022CLIA 36D2119431 · Waiver
800 GRAYSON LN, BEAVERCREEK, OH 45430(317) 385-5818 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Nov 8, 2022 (2 updates tracked since 2022).

About Traditions At Beavercreek NPPES

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

TRADITIONS AT BEAVERCREEK (NPI 1891403929) is a healthcare organization registered as an assisted living facility in Beavercreek, Ohio and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Kris Peters, Director Of Business Office & Waiv, as its authorized official.

NPPES Registry Identity

NPI1891403929
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBEAVERCREEK SENIOR LIVING II LLC
Location Address800 GRAYSON LNBeavercreek, OH 45430-1783
Mailing Address802 E 86th StIndianapolis, IN 46240-1806 · (317) 385-5818
Phone(317) 385-5818
Organization SubpartNo
Authorized OfficialKris PetersDirector Of Business Office & Waiv · (260) 452-4896
Enumeration DateNovember 8, 2022
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1891403929 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.
800 GRAYSON LN, Beavercreek, OH 45430
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Other Names 1

Doing Business AsTraditions At Beavercreek

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 36D2119431

Traditions Of Beavercreek · Beavercreek, OH
Active · expires Sep 26, 2026
CLIA Number36D2119431
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorJulia M. Croucher
Laboratory Phone(937) 427-6220
Laboratory LocationTraditions Of Beavercreek800 Grayson Lane, Beavercreek, OH 45430
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRA MIDWEST OPERATIONS X, LLC
Assisted Living Facility
800 GRAYSON LN
BEAVERCREEK, OH 45430
Greene County (260) 452-4896
MICHAELA LAMAR SLP
Speech-Language Pathologist
800 GRAYSON LN
BEAVERCREEK, OH 45430
Greene County (866) 360-9355
STEPHANIE M SULLIVAN DPT
Physical Therapist
800 GRAYSON LN
BEAVERCREEK, OH 45430
Greene County (866) 360-9355

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 Beavercreek Senior Living II LLC's NPI number?

The NPI number for Beavercreek Senior Living II LLC is 1891403929. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Traditions At Beavercreek.

Where is Beavercreek Senior Living II LLC located?

Beavercreek Senior Living II LLC is located at 800 Grayson Ln, Beavercreek, OH 45430. The listed phone number is (317) 385-5818.

What is Beavercreek Senior Living II LLC's specialty?

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

Does Beavercreek Senior Living II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2119431) is associated with this NPI, valid through September 26, 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 Beavercreek Senior Living II LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.