MARTHA JEFFERSON HOUSE
NPI 1174645790
Assisted Living Facility in Charlottesville, VA
NPI Status: Active since April 04, 2007
Contact Information
1600 GORDON AVE
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 293-6136
Fax: (434) 295-0400
- Organization
- Assisted Living Facility
- CLIA Number: 49D0890568
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-21-2026
About MARTHA JEFFERSON HOUSE
This page provides the complete NPI Profile along with additional information for Martha Jefferson House, a provider established in Charlottesville, Virginia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1174645790 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number 000744 (VA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Heather Parrott Dhsc, Lnha, Ccc-slp (Executive Director)
- NPI
- 1174645790
- Provider Name
- MARTHA JEFFERSON HOUSE
- Entity Type
- Organization
- Location Address
- 1600 GORDON AVE CHARLOTTESVILLE, VA 22903
- Location Phone
- (434) 293-6136
- Location Fax
- (434) 295-0400
- Mailing Address
- 1600 GORDON AVE CHARLOTTESVILLE, VA 22903
- Mailing Phone
- (434) 293-6136
- Mailing Fax
- (434) 295-0400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2007
- Last Update Date
- 05-25-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 000744
- License State
- VA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | NH2625 (VA) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D0890568
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- August 22, 2024
- Certificate Expiration Date
- August 21, 2026
- Laboratory Director
- GAIL M. WEATHERILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Martha Jefferson House to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 6 | 4 | 5 | 7 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 12 | 4 | 10 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1174645790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851571848 | MRS. CAROL LYNN ERWIN NP Individual | Nurse Practitioner | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 933-3318 |
| 1972248433 | MARGARET SHAFFER JONES Individual | Occupational Therapist (Physical Rehabilitation) | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-6136 |
| 1073244133 | KRISNA MARIE CASINO-CHISHOLM PHYSICAL THERAPIST Individual | Physical Therapist | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-6136 |
| 1093445165 | MARTHA JEFFERSON HOUSE Organization | Clinic/Center (Rehabilitation) | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-6136 |
| 1073231056 | KRISTEN SHEFFIELD MOT, OTR/L Individual | Occupational Therapist | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (765) 730-9757 |
| 1619414315 | DEANNA MORIARTY PT, DPT Individual | Physical Therapist | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-6136 |
| 1689400574 | MARY ELIZABETH MANN CCC/SLP-L Individual | Speech-Language Pathologist | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-0753 |
| 1154145704 | BOBI WHITE DPT Individual | Physical Therapist | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-0753 |
| 1730986803 | MADELINE CAMPBELL Individual | Physical Therapy Assistant | 1600 GORDON AVE CHARLOTTESVILLE, VA 22903 (434) 293-6136 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174645790, enumerated in the NPI registry as an "organization" on April 04, 2007
The provider is located at 1600 Gordon Ave Charlottesville, Va 22903 and the phone number is (434) 293-6136
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 49D0890568 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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