SUMMIT PLACE OF SOUTHPARK
NPI 1730477399
Assisted Living Facility in Charlotte, NC
NPI Status: Active since July 18, 2011
Contact Information
2101 RUNNYMEDE LN
CHARLOTTE, NC
ZIP 28209
Phone: (704) 525-5508
Fax: (704) 525-2672
- Organization
- Assisted Living Facility
- CLIA Number: 34D1089193
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-22-2026
About SUMMIT PLACE OF SOUTHPARK
This page provides the complete NPI Profile along with additional information for Summit Place Of Southpark, a provider established in Charlotte, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1730477399 assigned on July 2011. The practitioner's primary taxonomy code is 310400000X with license number HAL-060-116 (NC). 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 Southpark. The authorized official of this NPI record is Jennifer F Mintzer (President & Chief Operating Officer)
- NPI
- 1730477399
- Provider Legal Name
- SNH SE TENANT TRS, INC
- Other Organization Name
- SUMMIT PLACE OF SOUTHPARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2101 RUNNYMEDE LN CHARLOTTE, NC 28209
- Location Phone
- (704) 525-5508
- Location Fax
- (704) 525-2672
- Mailing Address
- 2 NEWTON PL 255 WASHINGTON STREET, SUITE 300 NEWTON, MA 02458
- Mailing Phone
- (617) 796-8350
- Mailing Fax
- (704) 525-2672
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-18-2011
- Last Update Date
- 04-30-2020
- 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.
- HAL-060-116
- License State
- NC
- 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.
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
- 34D1089193
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- CAMILLA J. CARPENTER- SHERRILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Place Of Southpark 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 | 7 | 3 | 0 | 4 | 7 | 7 | 3 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 8 | 7 | 14 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 8 + 7 + 1 + 4 + 3 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1730477399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982724100 | SOUTHPARK SENIOR LIVING LLC Organization | Assisted Living Facility | 2101 RUNNYMEDE LN CHARLOTTE, NC 28209 (704) 525-5508 |
| 1578794566 | SUMMIT PLACE OF SOUTH PARK Organization | Assisted Living Facility | 2101 RUNNYMEDE LN CHARLOTTE, NC 28209 (704) 525-5508 |
| 1700479789 | ANTOINETTE GUNTHNER PT Individual | Physical Therapist | 2101 RUNNYMEDE LN CHARLOTTE, NC 28209 (704) 525-5508 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730477399, enumerated in the NPI registry as an "organization" on July 18, 2011
The provider is located at 2101 Runnymede Ln Charlotte, Nc 28209 and the phone number is (704) 525-5508
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 34D1089193 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 July 18, 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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