SUMMERSET ASSISTED LIVING INC.
NPI 1366963019
Clinic/Center - Adult Day Care in Atlanta, GA
NPI Status: Active since July 03, 2017
Contact Information
3711 BENJAMIN E MAYS DR SW
ATLANTA, GA
ZIP 30331
Phone: (404) 691-4545
Fax: (866) 384-4420
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 11D0984560
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-22-2027
About SUMMERSET ASSISTED LIVING INC.
This page provides the complete NPI Profile along with additional information for Summerset Assisted Living Inc., a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1366963019 assigned on July 2017. The practitioner's primary taxonomy code is 261QA0600X with license number ALC000041 (GA). 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 Mr. Julius M Willis Sr. (President/ceo)
- NPI
- 1366963019
- Provider Name
- SUMMERSET ASSISTED LIVING INC.
- Entity Type
- Organization
- Location Address
- 3711 BENJAMIN E MAYS DR SW ATLANTA, GA 30331
- Location Phone
- (404) 691-4545
- Location Fax
- (866) 384-4420
- Mailing Address
- 3711 BENJAMIN E MAYS DR SW ATLANTA, GA 30331
- Mailing Phone
- (404) 691-4545
- Mailing Fax
- (866) 384-4420
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2017
- Last Update Date
- 07-21-2022
- 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
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
- License No.
- ALC000041
- License State
- GA
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
- 11D0984560
- Facility Type
- Other
- Certificate Effective Date
- March 23, 2025
- Certificate Expiration Date
- March 22, 2027
- Laboratory Director
- KAYE V. HOWARD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summerset Assisted Living 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.
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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 | 3 | 6 | 6 | 9 | 6 | 3 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 18 | 6 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 8 + 6 + 6 + 0 + 2 + 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 1366963019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366963019, enumerated in the NPI registry as an "organization" on July 03, 2017
The provider is located at 3711 Benjamin E Mays Dr Sw Atlanta, Ga 30331 and the phone number is (404) 691-4545
This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care
The provider's CLIA number is 11D0984560 for a "other" 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 03, 2017. 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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