STANDIFER GAP RD HEALTHCARE LLC
NPI 1700561008
Skilled Nursing Facility in Chattanooga, TN

NPI Status: Active since June 15, 2023

Contact Information

8249 STANDIFER GAP RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 892-1716
Fax: (423) 468-1554

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 44D0028394
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-20-2025

About STANDIFER GAP RD HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Standifer Gap Rd Healthcare Llc, a provider established in Chattanooga, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1700561008 assigned on June 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is William Miller (Manager)

NPI
1700561008
Provider Name
STANDIFER GAP RD HEALTHCARE LLC
Entity Type
Organization
Location Address
8249 STANDIFER GAP RD CHATTANOOGA, TN 37421
Location Phone
(423) 892-1716
Location Fax
(423) 468-1554
Mailing Address
8249 STANDIFER GAP RD CHATTANOOGA, TN 37421
Mailing Phone
(423) 892-1716
Mailing Fax
(423) 468-1554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2023
Last Update Date
06-15-2023
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

WILLIAM MILLER

Authorized Official Title
MANAGER
Authorized Official Phone
(208) 969-0254

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
44D0028394
Facility Type
Other
Certificate Effective Date
October 21, 2023
Certificate Expiration Date
October 20, 2025
Laboratory Director
BRUCE PENDLEY MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Standifer Gap Rd Healthcare 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.

Reviews for STANDIFER GAP RD HEALTHCARE LLC

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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.
1700561008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700106200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 6 + 2 + 0 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1700561008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023026465STRATFORD FACILITY OPERATIONS, LLC
Organization
Skilled Nursing Facility8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1881723427CONSULATE MANAGEMENT
Organization
Skilled Nursing Facility8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1043558752MRS. JESSICA KATHRYN CROWE OTR/L
Individual
Occupational Therapist8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1972842466 CHRISTINA JOHNSON
Individual
Physical Therapist8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1811321318 KELLY GAY
Individual
Residential Treatment Facility, Physical Disabilities8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1083039952 SUSAN LITTLEJOHN
Individual
Occupational Therapy Assistant8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1184035388 JOSEPH KENT
Individual
Occupational Therapist8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1053866442 MELINDA KAY MOUNT COTA/L
Individual
Occupational Therapy Assistant8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1063958841STRATFORD HOUSE, LLC
Organization
Skilled Nursing Facility8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(470) 282-3271
1851332571OP CHATTANOOGA, INC.
Organization
Skilled Nursing Facility8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1417605213WT CHAT OP LLC
Organization
Skilled Nursing Facility8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716
1104168475 WESLEY CLIFTON PTA
Individual
Physical Therapy Assistant8249 STANDIFER GAP RD
CHATTANOOGA, TN 37421
(423) 892-1716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700561008, enumerated in the NPI registry as an "organization" on June 15, 2023

The provider is located at 8249 Standifer Gap Rd Chattanooga, Tn 37421 and the phone number is (423) 892-1716

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 44D0028394 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 June 15, 2023. 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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