HEARTH AT JUDAY CREEK LLC
NPI 1932662046
Assisted Living Facility in Granger, IN

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

Active since April 08, 2019

6330 N FIR RD, GRANGER, IN 46530(574) 243-5557 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Hearth At Juday Creek Llc NPPES

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

HEARTH AT JUDAY CREEK LLC (NPI 1932662046) is a healthcare organization registered as an assisted living facility in Granger, Indiana and active in the NPI registry since April 2019. The organization lists Laura Payne, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1932662046

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHEARTH AT JUDAY CREEK LLC

Location Address6330 N FIR RDGranger, IN 46530-4753

Mailing Address6330 N Fir RdGranger, IN 46530-4753

Phone(574) 243-5557

Organization SubpartNo

Authorized OfficialLaura PayneExecutive Director · (574) 243-5557

Enumeration DateApril 8, 2019

✔ NPI 1932662046 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.

6330 N FIR RD, Granger, IN 46530

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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 15D1107348

Storypoint Granger · Granger, IN

Expired · Jun 14, 2026

CLIA Number15D1107348

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 15, 2024

Certificate Expiration DateJune 14, 2026

Laboratory DirectorTiffany Fultz

Laboratory Phone(574) 243-5557

Laboratory LocationStorypoint Granger6330 North Fir Rd, Granger, IN 46530

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

STACEY ANN DALBY OTR/L

Occupational Therapist