IMBODEN CREEK GARDENS LLC
NPI 1891456216
Assisted Living Facility in Decatur, IL
About Imboden Creek Gardens Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMBODEN CREEK GARDENS LLC (NPI 1891456216), doing business as Imboden Creek Gardens, is a healthcare organization registered as an assisted living facility in Decatur, Illinois and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Scott E Stout, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
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 14D2196494
Imboden Creek Gardens, LLC · Decatur, ILOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, IL 62521
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 Imboden Creek Gardens LLC's NPI number?
The NPI number for Imboden Creek Gardens LLC is 1891456216. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is doing business as Imboden Creek Gardens.
Where is Imboden Creek Gardens LLC located?
Imboden Creek Gardens LLC is located at 185 W Imboden Dr, Decatur, IL 62521. The listed phone number is (217) 233-1425.
What is Imboden Creek Gardens LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Imboden Creek Gardens LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2196494) is associated with this NPI, valid through October 15, 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 Imboden Creek Gardens LLC was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
