COLONIAL LODGE RETIREMENT & ASSISTED LIVING & ALZHEIMER'S FACILITY
NPI 1750590584
Lodging in Greenville, TX
NPI Status: Active since May 21, 2007
Contact Information
3600 STANFORD ST
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-6636
Fax: (903) 454-8182
- Organization
- Lodging
- CLIA Number: 45D2197491
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-03-2025
About COLONIAL LODGE RETIREMENT & ASSISTED LIVING & ALZHEIMER'S FACILITY
This page provides the complete NPI Profile along with additional information for Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility, a provider established in Greenville, Texas operating as a Lodging. The healthcare provider is registered in the NPI registry with number 1750590584 assigned on May 2007. The practitioner's primary taxonomy code is 177F00000X with license number 118502 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility. The authorized official of this NPI record is Nelda Young (Executive Director)
- NPI
- 1750590584
- Provider Legal Name
- SHAMOR, INC.
- Other Organization Name
- COLONIAL LODGE RETIREMENT & ASSISTED LIVING & ALZHEIMER'S FACILITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3600 STANFORD ST GREENVILLE, TX 75401
- Location Phone
- (903) 454-6636
- Location Fax
- (903) 454-8182
- Mailing Address
- 3600 STANFORD ST GREENVILLE, TX 75401
- Mailing Phone
- (903) 454-6636
- Mailing Fax
- (903) 454-8182
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 08-22-2020
- 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
Lodging
- Taxonomy Code
- 177F00000X
- Type
- Other Service Providers
- License No.
- 118502
- License State
- TX
- Taxonomy Description
- A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 45D2197491
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 04, 2023
- Certificate Expiration Date
- May 03, 2025
- Laboratory Director
- MALYNDA L. POARCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Colonial Lodge Retirement & Assisted Living & Alzheimer's Facility 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 COLONIAL LODGE RETIREMENT & ASSISTED LIVING & ALZHEIMER'S FACILITY
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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 | 5 | 0 | 5 | 9 | 0 | 5 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 9 | 0 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 9 + 0 + 5 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750590584 is valid because the calculated check digit 4 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 1750590584, enumerated in the NPI registry as an "organization" on May 21, 2007
The provider is located at 3600 Stanford St Greenville, Tx 75401 and the phone number is (903) 454-6636
This medical organization specializes in Lodging with taxonomy code 177F00000X
The provider's CLIA number is 45D2197491 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 May 21, 2007. 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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