SUMMIT PLACE OF BEAUFORT
NPI 1518240365
Assisted Living Facility in Beaufort, SC

NPI Status: Active since September 27, 2011

Contact Information

1119 PICK POCKET PLANTATION DR
BEAUFORT, SC
ZIP 29902
Phone: (843) 770-0105

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 42D0997984
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-01-2026

About SUMMIT PLACE OF BEAUFORT

This page provides the complete NPI Profile along with additional information for Summit Place Of Beaufort, a provider established in Beaufort, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1518240365 assigned on September 2011. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Summit Place Of Beaufort. The authorized official of this NPI record is Jennifer F Mintzer (President & Chief Operating Officer)

NPI
1518240365
Provider Legal Name
SNH SE TENANT TRS, INC
Other Organization Name
SUMMIT PLACE OF BEAUFORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1119 PICK POCKET PLANTATION DR BEAUFORT, SC 29902
Location Phone
(843) 770-0105
Mailing Address
2 NEWTON PLACE 255 WASHINGTON STREET SUITE 300 NEWTON, MA 02458
Mailing Phone
(617) 796-8350
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-27-2011
Last Update Date
04-30-2020
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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
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.

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)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER F MINTZER

Authorized Official Title
PRESIDENT & CHIEF OPERATING OFFICER
Authorized Official Phone
(617) 796-8350

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
42D0997984
Facility Type
Assisted Living Facility
Certificate Effective Date
April 02, 2024
Certificate Expiration Date
April 01, 2026
Laboratory Director
RENEE CHEMFOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Place Of Beaufort 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 SUMMIT PLACE OF BEAUFORT

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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.
1518240365
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528440312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 4 + 4 + 0 + 3 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1518240365 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790469138 WINTER ALIAH GRANT M.A.
Individual
Speech-Language Pathologist1119 PICK POCKET PLANTATION DR
BEAUFORT, SC 29902
(877) 367-9772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518240365, enumerated in the NPI registry as an "organization" on September 27, 2011

The provider is located at 1119 Pick Pocket Plantation Dr Beaufort, Sc 29902 and the phone number is (843) 770-0105

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 42D0997984 for a "assisted living 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 September 27, 2011. 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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