COUNTRY LIVING GUEST HOME #8
NPI 1104182005
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC
NPI Status: Active since April 04, 2012
Contact Information
618 PLANT ST
WASHINGTON, NC
ZIP 27889
Phone: (252) 975-3741
Fax: (252) 975-3044
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 34D2321906
- CLIA Cert. Type: Other - GROUP HOME
- CLIA Exp. Date: 04-10-2027
About COUNTRY LIVING GUEST HOME #8
This page provides the complete NPI Profile along with additional information for Country Living Guest Home #8, a provider established in Washington, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104182005 assigned on April 2012. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Country Living Guest Home #8. The authorized official of this NPI record is Miss Kellie Michelle Hardison Msw, Lcsw (Administrator)
- NPI
- 1104182005
- Provider Legal Name
- COUNTRY LIVING GUEST HOME, INC.
- Other Organization Name
- COUNTRY LIVING GUEST HOME #8
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 618 PLANT ST WASHINGTON, NC 27889
- Location Phone
- (252) 975-3741
- Location Fax
- (252) 975-3044
- Mailing Address
- 217 EAST 9TH STREET WASHINGTON, NC 27889
- Mailing Phone
- (252) 975-3741
- Mailing Fax
- (252) 975-3044
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2012
- Last Update Date
- 10-12-2023
- 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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 3 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
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
- 34D2321906
- Facility Type
- Other - GROUP HOME
- Certificate Effective Date
- April 11, 2025
- Certificate Expiration Date
- April 10, 2027
- Laboratory Director
- KELLIE MICHELLE HARDISON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Country Living Guest Home #8 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 1104182005, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104182005, enumerated as an "organization" on April 04, 2012.
The provider is located at 618 PLANT ST WASHINGTON, NC 27889 and the phone number is (252) 975-3741.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
