THE TERRACE SENIOR LIVING COMMUNITY
NPI 1043438633
Assisted Living Facility in Jasper, AL
- Organization
- Assisted Living Facility
- CLIA Number: 01D1015344
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About THE TERRACE SENIOR LIVING COMMUNITY
This page provides the complete NPI Profile along with additional information for The Terrace Senior Living Community, a provider established in Jasper, Alabama operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1043438633 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number D6412 (AL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as The Terrace Senior Living Community. The authorized official of this NPI record is Jon M Harder (Manager)
- NPI
- 1043438633 Verify this NPI
- Provider Legal Name
- JASPER SENIOR LIVING LLC
- Other Organization Name
- THE TERRACE SENIOR LIVING COMMUNITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2100 VIKING DR JASPER, AL 35501
- Location Phone
- (205) 384-0660
- Location Fax
- (503) 485-1279
- Mailing Address
- PO BOX 3006 SALEM, OR 97302
- Mailing Phone
- (503) 375-9016
- Mailing Fax
- (503) 485-1279
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-22-2007
- Last Update Date
- 07-22-2008
- 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.
- D6412
- License State
- AL
- 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) |
|---|---|---|---|---|
| 1 | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) | P6401 (AL) |
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
- 01D1015344
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 29, 2003
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- YAN WANG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to The Terrace Senior Living Community on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043438633, enumerated as an "organization" on April 22, 2007.
The provider is located at 2100 VIKING DR JASPER, AL 35501 and the phone number is (205) 384-0660.
Assisted Living Facility with taxonomy code 310400000X.
