HAMPTON MANOR OF ORMOND BEACH LLC
NPI 1184944472
Assisted Living Facility in Ormond Beach, FL
- Organization
- Assisted Living Facility
- CLIA Number: 10D2078183
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-21-2026
About HAMPTON MANOR OF ORMOND BEACH LLC
This page provides the complete NPI Profile along with additional information for Hampton Manor Of Ormond Beach Llc, a provider established in Ormond Beach, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1184944472 assigned on June 2010. The practitioner's primary taxonomy code is 310400000X with license number AL8860 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Peder Johnsen (Ceo)
- NPI
- 1184944472 Verify this NPI
- Provider Name
- HAMPTON MANOR OF ORMOND BEACH LLC
- Entity Type
- Organization
- Location Address
- 1050 OCEAN SHORE BLVD ORMOND BEACH, FL 32176
- Location Phone
- (386) 441-1771
- Location Fax
- (386) 441-1778
- Mailing Address
- 1050 OCEAN SHORE BLVD ORMOND BEACH, FL 32176
- Mailing Phone
- (386) 441-1771
- Mailing Fax
- (386) 441-1778
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2010
- Last Update Date
- 06-09-2010
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL8860
- License State
- FL
- Taxonomy Description
- 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.
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
- 10D2078183
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 22, 2024
- Certificate Expiration Date
- May 21, 2026
- Laboratory Director
- KRISTI SHAW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hampton Manor Of Ormond Beach 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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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184944472, enumerated as an "organization" on June 09, 2010.
The provider is located at 1050 OCEAN SHORE BLVD ORMOND BEACH, FL 32176 and the phone number is (386) 441-1771.
Assisted Living Facility with taxonomy code 310400000X.