SILER CITY OPCO, LLC
NPI 1053952010
Custodial Care Facility - Adult Care Home in Siler City, NC

NPI Status: Active since October 01, 2019

Contact Information

260 VILLAGE LAKE RD
SILER CITY, NC
ZIP 27344
Phone: (919) 742-4052

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 34D0674636
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About SILER CITY OPCO, LLC

This page provides the complete NPI Profile along with additional information for Siler City Opco, Llc, a provider established in Siler City, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1053952010 assigned on October 2019. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Traci Mclaurin (Executive Director)

NPI
1053952010
Provider Name
SILER CITY OPCO, LLC
Entity Type
Organization
Location Address
260 VILLAGE LAKE RD SILER CITY, NC 27344
Location Phone
(919) 742-4052
Mailing Address
260 VILLAGE LAKE RD SILER CITY, NC 27344
Mailing Phone
(919) 742-4052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2019
Last Update Date
10-01-2019
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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)
1343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

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

MS. TRACI MCLAURIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(919) 742-4052

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
34D0674636
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JEFFREY CARPENTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Siler City Opco, 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.

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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 1053952010, 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
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 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 9 → 18 → 9 2 → 4 1 → 2

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 + 1 + 8 + 5 + 4 + 0 + 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 1053952010.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Assisted Living Facility
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Occupational Therapy Assistant
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Occupational Therapy Assistant
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Speech-Language Pathologist
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Occupational Therapist
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Occupational Therapy Assistant
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Occupational Therapy Assistant
260 VILLAGE LAKE RD
SILER CITY, NC 27344
Clinic/Center (Rehabilitation)
260 VILLAGE LAKE RD
SILER CITY, NC 27344

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053952010, enumerated as an "organization" on October 01, 2019.

The provider is located at 260 VILLAGE LAKE RD SILER CITY, NC 27344 and the phone number is (919) 742-4052.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.