CHRISTIAN ASSISTED LIVING OF JOHNSON CITY LLC
NPI 1104401231
Assisted Living Facility in Johnson City, TN

Q: What is Christian Assisted Living Of Johnson City LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 10, 2021CLIA 44D2299610 · Waiver

213 UNIVERSITY PKWY, JOHNSON CITY, TN 37604(423) 232-5500(423) 232-5505 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christian Assisted Living Of Johnson City Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN ASSISTED LIVING OF JOHNSON CITY LLC (NPI 1104401231) is a healthcare organization registered as an assisted living facility in Johnson City, Tennessee and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Jimmy R Lewis, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1104401231

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCHRISTIAN ASSISTED LIVING OF JOHNSON CITY LLC

Location Address213 UNIVERSITY PKWYJohnson City, TN 37604-7328

Mailing Address2020 Northpark Dr Ste 2dJohnson City, TN 37604-3127 · (423) 975-5455 · Fax (423) 390-0743

Phone(423) 232-5500

Fax(423) 232-5505

Organization SubpartNo

Authorized OfficialJimmy R LewisChief Manager · (423) 975-5455

Enumeration DateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1104401231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

213 UNIVERSITY PKWY, Johnson City, TN 37604

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2299610

Christain Assisted Living Of Johnson City · Johnson City, TN

Active · expires Feb 22, 2028

CLIA Number44D2299610

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 23, 2026

Certificate Expiration DateFebruary 22, 2028

Laboratory DirectorAmy Lawrence

Laboratory Phone(423) 232-5500

Laboratory LocationChristain Assisted Living Of Johnson City213 University Parkway, Johnson City, TN 37604

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Assisted Living Of Johnson City LLC's NPI number?

The NPI number for Christian Assisted Living Of Johnson City LLC is 1104401231. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Christian Assisted Living Of Johnson City LLC located?

Christian Assisted Living Of Johnson City LLC is located at 213 University Pkwy, Johnson City, TN 37604. The listed phone number is (423) 232-5500.

What is Christian Assisted Living Of Johnson City LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Christian Assisted Living Of Johnson City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2299610) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christian Assisted Living Of Johnson City LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.