MIONA GERIATRIC AND DEMENTIA CENTER, LLC
NPI 1174770424
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Ideal, GA
NPI Status: Active since August 19, 2008
Contact Information
201 POPLAR ST
IDEAL, GA
ZIP 31041
Phone: (478) 949-2270
- Organization
- Durable Medical Equipment & Medical Supp...
- Parenteral & Enteral Nutrition
- CLIA Number: 11D0263610
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About MIONA GERIATRIC AND DEMENTIA CENTER, LLC
This page provides the complete NPI Profile along with additional information for Miona Geriatric And Dementia Center, Llc, a provider established in Ideal, Georgia operating as a Durable Medical Equipment & Medical Supplies, focusing in parenteral & enteral nutrition . The healthcare provider is registered in the NPI registry with number 1174770424 assigned on August 2008. The practitioner's primary taxonomy code is 332BP3500X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is William Jule Windham (President)
- NPI
- 1174770424
- Provider Name
- MIONA GERIATRIC AND DEMENTIA CENTER, LLC
- Entity Type
- Organization
- Location Address
- 201 POPLAR ST IDEAL, GA 31041
- Location Phone
- (478) 949-2270
- Mailing Address
- 777 NURSING HOME RD MARSHALLVILLE, GA 31057
- Mailing Phone
- (478) 967-2223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2008
- Last Update Date
- 10-27-2008
- 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
Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition
- Taxonomy Code
- 332BP3500X
- Type
- Suppliers
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
- 11D0263610
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- CHRISTOPHER RICHARDS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Miona Geriatric And Dementia Center, 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 1174770424, 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.
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174770424, enumerated as an "organization" on August 19, 2008.
The provider is located at 201 POPLAR ST IDEAL, GA 31041 and the phone number is (478) 949-2270.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.
