MCKENZIE SNF HEALTHCARE LLC
NPI 1053148460
Skilled Nursing Facility in Mc Kenzie, TN

NPI Status: Active since September 18, 2024

Contact Information

175 HOSPITAL DR
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-3908

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 44D0902258
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 06-15-2027

About MCKENZIE SNF HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Mckenzie Snf Healthcare Llc, a provider established in Mc Kenzie, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1053148460 assigned on September 2024. 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 John Mitchell (Secretary)

NPI
1053148460
Provider Name
MCKENZIE SNF HEALTHCARE LLC
Entity Type
Organization
Location Address
175 HOSPITAL DR MC KENZIE, TN 38201
Location Phone
(731) 352-3908
Mailing Address
262 N UNIVERSITY AVE FARMINGTON, UT 84025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2024
Last Update Date
09-18-2024
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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

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOHN MITCHELL

Authorized Official Title
SECRETARY
Authorized Official Phone
(385) 988-3319

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
44D0902258
Facility Type
Other
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
BRYAN MERRICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mckenzie Snf 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 MCKENZIE SNF HEALTHCARE LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053148460, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 2 + 4 + 1 + 6 + 4 + 1 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1053148460.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Occupational Therapist
175 HOSPITAL DR
MC KENZIE, TN 38201
Speech-Language Pathologist
175 HOSPITAL DR
MC KENZIE, TN 38201
Physical Therapy Assistant
175 HOSPITAL DR
MC KENZIE, TN 38201
Speech-Language Pathologist
175 HOSPITAL DR
MC KENZIE, TN 38201
Physical Therapist
175 HOSPITAL DR
MC KENZIE, TN 38201
Skilled Nursing Facility
175 HOSPITAL DR
MC KENZIE, TN 38201
Physical Therapist (Geriatrics)
175 HOSPITAL DR
MC KENZIE, TN 38201
Occupational Therapy Assistant
175 HOSPITAL DR
MC KENZIE, TN 38201
Skilled Nursing Facility
175 HOSPITAL DR
MC KENZIE, TN 38201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053148460, enumerated as an "organization" on September 18, 2024.

The provider is located at 175 HOSPITAL DR MC KENZIE, TN 38201 and the phone number is (731) 352-3908.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.