Organization Active NPI

Vivera Senior Living of Jeffersonville LLC

  • Assisted Living Facility
  • Jeffersonville, IN
National Provider Identifier
1992427868
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIVERA SENIOR LIVING OF JEFFERSONVILLE LLC
Doing business as
Vivera Senior Living of Jeffersonville
Practice address
2105 Hamburg Pike
Jeffersonville, IN 47130-6317
Phone
(812) 577-8542
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Bridgett Fitzgerald
Title
Financial Project and Business Ins.
Phone
(815) 935-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2105 Hamburg Pike
Jeffersonville, IN 47130-6317

Mailing address

200 E Court St Ste 400
Kankakee, IL 60901-3848
Phone (815) 935-1992

Other names 1

  • Vivera Senior Living of Jeffersonville Doing business as

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
15D2265580Vivera Senior Living Jeffersonville2105 Hamburg Pike, Jeffersonville, IN 47130Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory

Locations

200 E Court St
Ste 400
Kankakee, IL 60901

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1992427868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HAMBURG PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306317",
            "telephone_number": "812-577-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVERA SENIOR LIVING OF JEFFERSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "FINANCIAL PROJECT AND BUSINESS INS.",
        "authorized_official_telephone_number": "815-935-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivera Senior Living of Jeffersonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vivera Senior Living of Jeffersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.