FOUR COUNTY HEALTH CARE
NPI 1114056934
Clinic/Center - Adult Day Care in Richland, GA

NPI Status: Active since March 05, 2007

Contact Information

99 OVERBY DR
RICHLAND, GA
ZIP 31825
Phone: (229) 887-2021
Fax: (229) 887-3978

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 11D0646178
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About FOUR COUNTY HEALTH CARE

This page provides the complete NPI Profile along with additional information for Four County Health Care, a provider established in Richland, Georgia operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1114056934 assigned on March 2007. The practitioner's primary taxonomy code is 261QA0600X with license number 1-128-1712 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Four County Health Care. The authorized official of this NPI record is Kim Sheffield (Vp Of Financial Reporting)

NPI
1114056934
Provider Legal Name
FOUR COUNTY HEALTH CARE, LLC
Other Organization Name
FOUR COUNTY HEALTH CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
99 OVERBY DR RICHLAND, GA 31825
Location Phone
(229) 887-2021
Location Fax
(229) 887-3978
Mailing Address
PO BOX 339 RICHLAND, GA 31825
Mailing Phone
(229) 887-2021
Mailing Fax
(229) 887-3978
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
08-22-2020
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License No.
1-128-1712
License State
GA

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

KIM SHEFFIELD

Authorized Official Title
VP OF FINANCIAL REPORTING
Authorized Official Phone
(478) 621-2100

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
11D0646178
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MICHAEL D. SATCHELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Four County Health Care 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 1114056934, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 1 → 2 0 → 0 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 0 + 5 + 1 + 2 + 9 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114056934.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Respite Care
99 OVERBY DR
RICHLAND, GA 31825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114056934, enumerated as an "organization" on March 05, 2007.

The provider is located at 99 OVERBY DR RICHLAND, GA 31825 and the phone number is (229) 887-2021.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.