15D1038078 CLIA NUMBER - FIVE STAR RESIDENCES OF NOBLESVILLE

Laboratory Demographics

CLIA Number: 15D1038078

Facility Name: FIVE STAR RESIDENCES OF NOBLESVILLE

Facility Address:
7235 RIVERWALK WAY N
NOBLESVILLE, IN
ZIP 46062
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Facility Phone Number: 317 770-0011

Facility Type: Other - RESIDENTIAL CARE FACIL

Certificate Type: Waiver

NPI Number: 1932274438

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name Field Value
CLIA Number 15D1038078
LAB Type Other - RESIDENTIAL CARE FACIL
Facility Name FIVE STAR RESIDENCES OF NOBLESVILLE
Street 7235 RIVERWALK WAY N
City NOBLESVILLE
State IN
ZIP 46062
Phone 317 770-0011
CertificateType 4
CertificateEffectiveDate 3/10/2023
CertificateExpirationDate 3/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024