SHADY LAWN LLC
NPI 1467683730
Custodial Care Facility in Cynthianan, KY
NPI Status: Active since August 04, 2009
Contact Information
108 SOUTH MILLER STREET
CYNTHIANAN, KY
ZIP 41031
Phone: (859) 234-2606
Fax: (859) 234-6684
- Organization
- Custodial Care Facility
- CLIA Number: 18D1060096
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 10-15-2026
About SHADY LAWN LLC
This page provides the complete NPI Profile along with additional information for Shady Lawn Llc, a provider established in Cynthianan, Kentucky operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1467683730 assigned on August 2009. The practitioner's primary taxonomy code is 311Z00000X with license number 100170 (KY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Kelli Lynn Bailey (Owner/administrator)
- NPI
- 1467683730
- Provider Name
- SHADY LAWN LLC
- Entity Type
- Organization
- Location Address
- 108 SOUTH MILLER STREET CYNTHIANAN, KY 41031
- Location Phone
- (859) 234-2606
- Location Fax
- (859) 234-6684
- Mailing Address
- 108 SOUTH MILLER STREET CYNTHIANA, KY 41031
- Mailing Phone
- (859) 234-2606
- Mailing Fax
- (859) 234-6684
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2009
- Last Update Date
- 08-04-2009
- 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
Custodial Care Facility
- Taxonomy Code
- 311Z00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 100170
- License State
- KY
- Taxonomy Description
- A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
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
- 18D1060096
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- October 16, 2024
- Certificate Expiration Date
- October 15, 2026
- Laboratory Director
- KELLI L. BAILEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shady Lawn Llc 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 | 4 | 6 | 7 | 6 | 8 | 3 | 7 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 8 | 6 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 8 + 6 + 7 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1467683730 is valid because the calculated check digit 0 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 1467683730, enumerated in the NPI registry as an "organization" on August 04, 2009
The provider is located at 108 South Miller Street Cynthianan, Ky 41031 and the phone number is (859) 234-2606
This medical organization specializes in Custodial Care Facility with taxonomy code 311Z00000X
The provider's CLIA number is 18D1060096 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 August 04, 2009. 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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