Organization Active NPI

Grove City Senior Living, LLC

  • Assisted Living Facility
  • Grove City, OH
National Provider Identifier
1417710138
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GROVE CITY SENIOR LIVING, LLC
Practice address
3615 Glacial LN
Grove City, OH 43123-3739
Phone
(614) 957-0029
NPI assigned
Feb 5, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kris Peters
Title
Director of Business Management
Phone
(260) 452-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3615 Glacial LN
Grove City, OH 43123-3739

Mailing address

911 E 86TH St Ste 103
Indianapolis, IN 46240-1840
Phone (317) 669-8404

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2254799Grove City Senior Living by Traditions3615 Glacial Lane, Grove City, OH 43123Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

911 E 86th St
Ste 103
Indianapolis, IN 46240
Phone (812) 267-2841

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1417710138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401840",
            "telephone_number": "317-669-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 GLACIAL LN",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233739",
            "telephone_number": "614-957-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS MANAGEMENT",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.