CONVALARIUM AT INDIAN RUN
NPI 1942890306
Assisted Living Facility in Dublin, OH
About Convalarium At Indian Run NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVALARIUM AT INDIAN RUN (NPI 1942890306) is a healthcare organization registered as an assisted living facility in Dublin, Ohio and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jeffrey Degyansky, Vice President Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 36D0861777
Convalarium At Indian Run, The · Dublin, OHOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DUBLIN, OH 43016
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 Dublin Convalarium Operating Company, LLC's NPI number?
The NPI number for Dublin Convalarium Operating Company, LLC is 1942890306. It was assigned to this organization in the NPPES registry on January 20, 2021. The provider is doing business as Convalarium At Indian Run.
Where is Dublin Convalarium Operating Company, LLC located?
Dublin Convalarium Operating Company, LLC is located at 6430 Post Rd, Dublin, OH 43016. The listed phone number is (614) 761-1188.
What is Dublin Convalarium Operating Company, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Dublin Convalarium Operating Company, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0861777) is associated with this NPI, valid through August 31, 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 Dublin Convalarium Operating Company, LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Convalarium At Indian Run · NPI 1942890306
Assisted Living Facility organization in Dublin, Ohio. Organization record, active in the CMS NPPES registry since January 20, 2021.
## Identity
- **NPI:** 1942890306 (Entity type: Organization)
- **Enumerated:** January 20, 2021
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Dublin Convalarium Operating Company, Llc
- **Organization subpart:** No
- **Authorized official:** Jeffrey Degyansky, VICE PRESIDENT OF OPERATIONS
## Practice location
- **Address:** 6430 POST RD, Dublin, OH 43016-1226
- **Phone:** (614) 761-1188
## Record status
- **NPPES last updated:** December 17, 2024
- **Other identifiers:** Other 1900R (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942890306) · Data from the CMS NPPES public registry.