RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING
NPI 1922845387
Assisted Living Facility in Columbia, SC

NPI Status: Active since July 12, 2024

Contact Information

112 GOODRICH ST
COLUMBIA, SC
ZIP 29223
Phone: (803) 465-0446
Fax: (803) 845-4761

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 42D2283465
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 06-07-2025

About RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Re-lax At Home Residential Assisted Living, a provider established in Columbia, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1922845387 assigned on July 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lavene Smith (Owner/operator)

NPI
1922845387
Provider Name
RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING
Entity Type
Organization
Location Address
112 GOODRICH ST COLUMBIA, SC 29223
Location Phone
(803) 465-0446
Location Fax
(803) 845-4761
Mailing Address
112 GOODRICH ST COLUMBIA, SC 29223
Mailing Phone
(803) 465-0446
Mailing Fax
(803) 845-4761
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2024
Last Update Date
07-12-2024
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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.

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

LAVENE SMITH

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(803) 465-0446

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
42D2283465
Facility Type
Assisted Living Facility
Certificate Effective Date
June 08, 2023
Certificate Expiration Date
June 07, 2025
Laboratory Director
LAVENE M. SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Re-lax At Home Residential Assisted Living 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.
1922845387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294216410316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 6 + 4 + 1 + 0 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1922845387 is valid because the calculated check digit 7 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 1922845387, enumerated in the NPI registry as an "organization" on July 12, 2024

The provider is located at 112 Goodrich St Columbia, Sc 29223 and the phone number is (803) 465-0446

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

The provider's CLIA number is 42D2283465 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 12, 2024. 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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