TENNILLE RETIREMENT HOME, LLC
NPI 1427369966
Assisted Living Facility in Tennille, GA
NPI Status: Active since June 30, 2010
- Organization
- Assisted Living Facility
- CLIA Number: 11D0977037
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 03-17-2026
About TENNILLE RETIREMENT HOME, LLC
This page provides the complete NPI Profile along with additional information for Tennille Retirement Home, Llc, a provider established in Tennille, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1427369966 assigned on June 2010. The practitioner's primary taxonomy code is 310400000X with license number 150-03-001-1 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Jamason Byrd (Vice President)
- NPI
- 1427369966
- Provider Name
- TENNILLE RETIREMENT HOME, LLC
- Entity Type
- Organization
- Location Address
- 525 N MAIN ST TENNILLE, GA 31089
- Location Phone
- (478) 862-9051
- Mailing Address
- PO BOX 2028 BUTLER, GA 31006
- Mailing Phone
- (478) 862-9051
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2010
- Last Update Date
- 06-30-2010
- 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.
- 150-03-001-1
- License State
- GA
- 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.
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 |
|---|---|---|---|
| 115769937A | MEDICAID (05) | 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
- 11D0977037
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- March 18, 2024
- Certificate Expiration Date
- March 17, 2026
- Laboratory Director
- CRYSTAL D. OWENS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Tennille Retirement Home, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 4 | 2 | 7 | 3 | 6 | 9 | 9 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 6 | 6 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 6 + 6 + 1 + 8 + 9 + 1 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1427369966 is valid because the calculated check digit 6 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 1427369966, enumerated in the NPI registry as an "organization" on June 30, 2010
The provider is located at 525 N Main St Tennille, Ga 31089 and the phone number is (478) 862-9051
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
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 11D0977037 for a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 30, 2010. 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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