SOUTHMINSTER INC
NPI 1255596979
Alzheimer Center (Dementia Center) in Charlotte, NC
NPI Status: Active since July 22, 2008
Contact Information
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 551-6800
Fax: (704) 551-6868
- Organization
- Alzheimer Center (Dementia Center)
- CLIA Number: 34D0244369
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About SOUTHMINSTER INC
This page provides the complete NPI Profile along with additional information for Southminster Inc, a provider established in Charlotte, North Carolina operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1255596979 assigned on July 2008. The practitioner's primary taxonomy code is 311500000X with license number 0414 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Mary Cooper Rn Naa (Administrator)
- NPI
- 1255596979
- Provider Name
- SOUTHMINSTER INC
- Entity Type
- Organization
- Location Address
- 8919 PARK RD CHARLOTTE, NC 28210
- Location Phone
- (704) 551-6800
- Location Fax
- (704) 551-6868
- Mailing Address
- 8919 PARK RD CHARLOTTE, NC 28210
- Mailing Phone
- (704) 551-6800
- Mailing Fax
- (704) 551-6868
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2008
- Last Update Date
- 07-22-2008
- 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
Alzheimer Center (Dementia Center)
- Taxonomy Code
- 311500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0414
- License State
- NC
- Taxonomy Description
- A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
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 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | 0414 (NC) |
| 2 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 0414 (NC) |
| 3 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 0414 (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
- 34D0244369
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DOTTIE WALLIN RN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southminster Inc 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 SOUTHMINSTER INC
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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 | 2 | 5 | 5 | 5 | 9 | 6 | 9 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 9 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 9 + 1 + 2 + 9 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1255596979 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1396860748 | JOAN FALLON OTR Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-7100 |
| 1518084078 | KARLA KETTLER LPTA Individual | Physical Therapy Assistant | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-7100 |
| 1275650228 | MRS. TAMMY WILLIAMS NORMAN PT Individual | Physical Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-7100 |
| 1912141961 | DENA MARIE MALIA OTR/L Individual | Specialist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-7100 |
| 1033353495 | MRS. JENNA HANLON ROPER MA, CCC/SLP Individual | Speech-Language Pathologist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6100 |
| 1962772202 | SUSAN OSBORNE WILSON OTR/L Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1669742300 | MAHANANDA ULLAGADDI PT Individual | Physical Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1487896536 | MRS. OLGA HOFFER OTR/L Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1588088306 | NEHA GHADIA Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1437575503 | KAREY COOK Individual | Physical Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1427475755 | JESSICA CUSUMANO OTR Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1073923397 | ANTHONY PETE HATTON LPTA Individual | Nursing Care | 8919 PARK RD CHARLOTTE, NC 28210 (705) 556-3428 |
| 1750526497 | MRS. JANAE MARIE HICKS COTA/L Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1558514059 | COURTNEY SCHEIBLA PT Individual | Physical Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1467756858 | DR. VIRGINIA GRACE MOELLER DPT Individual | Physical Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 421-8170 |
| 1154876779 | CYNTHIA RIESENBERG Individual | Speech-Language Pathologist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1962889097 | ERIN DACEY STRONG OTR/L Individual | Occupational Therapist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1093267650 | KACIE GAMM M.S CCC-SLP Individual | Speech-Language Pathologist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
| 1679887798 | ANN ZIMMERMAN MS CCC-SLP Individual | Speech-Language Pathologist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 556-3428 |
| 1861927725 | LAUREN TOLAR MINYARD M.S., CCC-SLP Individual | Speech-Language Pathologist | 8919 PARK RD CHARLOTTE, NC 28210 (704) 551-6800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255596979, enumerated in the NPI registry as an "organization" on July 22, 2008
The provider is located at 8919 Park Rd Charlotte, Nc 28210 and the phone number is (704) 551-6800
This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X
The provider's CLIA number is 34D0244369 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 July 22, 2008. 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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