MOUNTAIN HOME
NPI 1225187669
Chronic Disease Hospital in Erwin, TN
NPI Status: Active since January 08, 2007
Contact Information
415 S MAIN AVE
ERWIN, TN
ZIP 37650
Phone: (423) 743-9058
- Organization
- Chronic Disease Hospital
- CLIA Number: 44D0987609
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About MOUNTAIN HOME
This page provides the complete NPI Profile along with additional information for Mountain Home, a provider established in Erwin, Tennessee operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1225187669 assigned on January 2007. The practitioner's primary taxonomy code is 281P00000X with license number RN0000087275 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Mountain Home. The authorized official of this NPI record is Ms. Elizabeth Ann Woods (Registered Nurse)
- NPI
- 1225187669
- Provider Legal Name
- JAMES H. QUILLEN VA MEDICAL CENTER
- Other Organization Name
- MOUNTAIN HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 415 S MAIN AVE ERWIN, TN 37650
- Location Phone
- (423) 743-9058
- Mailing Address
- 415 S MAIN AVE PO BOX 281 ERWIN, TN 37650
- Mailing Phone
- (423) 743-9058
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 06-24-2008
- 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
Chronic Disease Hospital
- Taxonomy Code
- 281P00000X
- Type
- Hospitals
- License No.
- RN0000087275
- License State
- TN
- Taxonomy Description
- (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
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
- 44D0987609
- Facility Type
- Hospital
- Certificate Effective Date
- June 08, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- ROWENA VELILLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mountain Home on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1225187669, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225187669, enumerated as an "organization" on January 08, 2007.
The provider is located at 415 S MAIN AVE ERWIN, TN 37650 and the phone number is (423) 743-9058.
Chronic Disease Hospital with taxonomy code 281P00000X.
