BERMUDA VILLAGE
NPI 1174687586
Nursing Facility/Intermediate Care Facility in Advance, NC
NPI Status: Active since December 20, 2006
Contact Information
142 BERMUDA VILLAGE DR
ADVANCE, NC
ZIP 27006
Phone: (336) 998-6754
Fax: (336) 998-6771
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 34D2100104
- CLIA Cert. Type: Other - NON HOSPITAL-BASED CLINIC
- CLIA Exp. Date: 08-06-2025
About BERMUDA VILLAGE
This page provides the complete NPI Profile along with additional information for Bermuda Village, a provider established in Advance, North Carolina operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1174687586 assigned on December 2006. The practitioner's primary taxonomy code is 313M00000X with license number NH0519 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Bermuda Village. The authorized official of this NPI record is Ms. Jan Whittle Cpa (Vice President Of Finance)
- NPI
- 1174687586
- Provider Legal Name
- BERMUDA VILLAGE RETIREMENT CENTER LIMITED PARTNERSHIP
- Other Organization Name
- BERMUDA VILLAGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 142 BERMUDA VILLAGE DR ADVANCE, NC 27006
- Location Phone
- (336) 998-6754
- Location Fax
- (336) 998-6771
- Mailing Address
- 142 BERMUDA VILLAGE DR ADVANCE, NC 27006
- Mailing Phone
- (336) 998-6754
- Mailing Fax
- (336) 998-6771
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2006
- Last Update Date
- 10-02-2009
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- NH0519
- License State
- NC
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 345416 | MEDICARE OSCAR/CERTIFICATION (06) | NC |
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
- 34D2100104
- Facility Type
- Other - NON HOSPITAL-BASED CLINIC
- Certificate Effective Date
- August 07, 2023
- Certificate Expiration Date
- August 06, 2025
- Laboratory Director
- CHARLES SEMELKA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bermuda Village 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.
Reviews for BERMUDA VILLAGE
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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 | 8 | 7 | 5 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 12 | 8 | 14 | 5 | 16 | |
| 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 + 8 + 1 + 4 + 5 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1174687586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245435338 | MRS. KRISTI S. WRIGHT LPTA Individual | Physical Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 998-0663 |
| 1295931632 | MISS LISA ANN VANETTEN OTR Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1730385592 | CATHERINE ELIZABETH MULGREW PT Individual | Physical Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 998-6112 |
| 1952593303 | SHERRY ROGERS STANCLIFF OTR/L Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR BERMUDA VILLAGE ADVANCE, NC 27006 (336) 940-6433 |
| 1104011758 | MRS. GINA G. REECE P.T. Individual | Physical Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 998-6112 |
| 1609064708 | DEBORAH WOODBURN MARSHALL PT Individual | Physical Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1104009588 | LINDA KIRK MANTHEY PT Individual | Physical Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1740444330 | MR. JOHN COLLINS COTA Individual | Occupational Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1023272606 | MS. APRIL CHRISTINE MARKHAM PTA Individual | Physical Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1942464466 | MELISSA ANN CLEARY M.S CCC-SLP Individual | Speech-Language Pathologist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (996) 940-6433 |
| 1578713285 | AMY DANIELLE WOOTEN PTA Individual | Physical Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1972754323 | GARY W CHILTON LPTA Individual | Physical Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1588816417 | MRS. KIMBERLY ANNE SHORE PT Individual | Physical Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1386881019 | MRS. LORAINE GRACE ENGSTROM OTR/L Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1124267257 | MRS. ELLEN BRADFORD JAMES COTA/L Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 998-6702 |
| 1245461425 | BERMUDA VILLAGE RETIREMENT CENTER LIMITED PARTNERSHIP Organization | Nursing Facility/Intermediate Care Facility | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 998-6754 |
| 1639493075 | KIRSTEN BRADLEY KIRSTEN BRADLEY Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR ATTN: PT/OT DEPARTMENT ADVANCE, NC 27006 (336) 998-6112 |
| 1275852238 | MRS. BONNIE JEAN COE COTA/L Individual | Occupational Therapist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1053631358 | MRS. JAYME NANCE EARLE M.S., CCC-SLP Individual | Speech-Language Pathologist | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
| 1013220680 | DEBORAH BOWERS OLIVER Individual | Occupational Therapy Assistant | 142 BERMUDA VILLAGE DR ADVANCE, NC 27006 (336) 940-6433 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174687586, enumerated in the NPI registry as an "organization" on December 20, 2006
The provider is located at 142 Bermuda Village Dr Advance, Nc 27006 and the phone number is (336) 998-6754
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2100104 for a "other - non hospital-based clinic" 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 December 20, 2006. 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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