Commons at Jackson Creek LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COMMONS AT JACKSON CREEK LLC

Practice address

3802 S Sare Rd
Bloomington, IN 47401-4794

Phone

(260) 740-3220

Fax

(260) 498-2059

NPI assigned

Oct 8, 2025

Organization subpart

No

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

Authorized official

Name

Sherri Berghoff

Title

Member/Ceo

Phone

(260) 740-3220

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1821963091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157637",
            "telephone_number": "260-740-3220",
            "fax_number": "260-498-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014794",
            "telephone_number": "260-740-3220",
            "fax_number": "260-498-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONS AT JACKSON CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "BERGHOFF",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "MEMBER/CEO",
        "authorized_official_telephone_number": "260-740-3220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.