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JENNI-LYNN ASSISTED LIVING, LLC
NPI 1114533981
Assisted Living Facility in West Columbia, SC

Active since September 17, 2020CLIA 42D0981658 · Waiver
915 HOOK AVE, WEST COLUMBIA, SC 29169(843) 296-3985 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenni-lynn Assisted Living, Llc NPPES

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

JENNI-LYNN ASSISTED LIVING, LLC (NPI 1114533981), doing business as Jenni Lynn Assisted Living, is a healthcare organization registered as an assisted living facility in West Columbia, South Carolina and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Paula Carlson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114533981
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJENNI-LYNN ASSISTED LIVING, LLC
Location Address915 HOOK AVEWest Columbia, SC 29169-5332
Mailing Address1007 Johnnie Dodds Blvd Ste 128Mount Pleasant, SC 29464-5901 · (843) 296-3985
Phone(843) 296-3985
Organization SubpartNo
Authorized OfficialPaula CarlsonExecutive Director · (843) 296-3985
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1114533981 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.
915 HOOK AVE, West Columbia, SC 29169
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Other Names 1

Doing Business AsJenni Lynn Assisted Living

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 42D0981658

Jenni-Lynn Assisted Living · West Columbia, SC
Active · expires Jan 2, 2027
CLIA Number42D0981658
Laboratory TypeOther
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorKellie Greene
Laboratory Phone(803) 926-8600
Laboratory LocationJenni-Lynn Assisted Living915 Hook Avenue, West Columbia, SC 29169
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET HALTIWANGER
Physical Therapist
915 HOOK AVE
WEST COLUMBIA, SC 29169
Lexington County (803) 926-8600
BANYAN COLUMBIA, LLC
Substance Abuse Rehabilitation Facility
915 HOOK AVE
WEST COLUMBIA, SC 29169
Lexington County (954) 533-7705
ALLI REECE MONEY OTR/L
Occupational Therapist
915 HOOK AVE
WEST COLUMBIA, SC 29169
Lexington County (803) 926-8600

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 Jenni-Lynn Assisted Living, LLC's NPI number?

The NPI number for Jenni-Lynn Assisted Living, LLC is 1114533981. It was assigned to this organization in the NPPES registry on September 17, 2020. The provider is doing business as Jenni Lynn Assisted Living.

Where is Jenni-Lynn Assisted Living, LLC located?

Jenni-Lynn Assisted Living, LLC is located at 915 Hook Ave, West Columbia, SC 29169. The listed phone number is (843) 296-3985.

What is Jenni-Lynn Assisted Living, LLC's specialty?

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

Does Jenni-Lynn Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0981658) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jenni-Lynn Assisted Living, LLC was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.