VIVERA SENIOR LIVING OF COLUMBUS
NPI 1952924136
Assisted Living Facility in Columbus, IN

Active since May 22, 2020CLIA 15D2187857 · Waiver
1971 STATE ST, COLUMBUS, IN 47201(812) 376-0698(812) 376-0713 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Oct 11, 2023, May 22, 2020 (3 updates tracked since 2020).

About Vivera Senior Living Of Columbus NPPES

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

VIVERA SENIOR LIVING OF COLUMBUS (NPI 1952924136) is a healthcare organization registered as an assisted living facility in Columbus, Indiana and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Greg Echols, Co-president Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1952924136
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVIVERA SENIOR LIVING OF COLUMBUS, LLC
Location Address1971 STATE STColumbus, IN 47201-6965
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Fax(812) 376-0713
Organization SubpartNo
Authorized OfficialGreg EcholsCo-president Of Management Company · (815) 935-1992
Enumeration DateMay 22, 2020
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1952924136 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.
1971 STATE ST, Columbus, IN 47201

Other Names 1

Doing Business AsVivera Senior Living Of Columbus

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 15D2187857

Vivera Senior Living Of Columbus, LLC · Columbus, IN
Active · expires Jul 8, 2028
CLIA Number15D2187857
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorTodd Nowacki
Laboratory Phone(812) 376-0698
Laboratory LocationVivera Senior Living Of Columbus, LLC1971 State Street, Columbus, IN 47201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
1971 STATE ST
COLUMBUS, IN 47201
Occupational Therapist
1971 STATE ST
COLUMBUS, IN 47201

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 Vivera Senior Living Of Columbus, LLC's NPI number?

The NPI number for Vivera Senior Living Of Columbus, LLC is 1952924136. It was assigned to this organization in the NPPES registry on May 22, 2020. The provider is doing business as Vivera Senior Living Of Columbus.

Where is Vivera Senior Living Of Columbus, LLC located?

Vivera Senior Living Of Columbus, LLC is located at 1971 State St, Columbus, IN 47201. The listed phone number is (812) 376-0698.

What is Vivera Senior Living Of Columbus, LLC's specialty?

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

Does Vivera Senior Living Of Columbus, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2187857) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vivera Senior Living Of Columbus, LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.