SOUTHMINSTER INC
NPI 1255596979
Alzheimer Center (Dementia Center) in Charlotte, NC
NPI Status: Active since July 22, 2008
Contact Information
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 551-6800
Fax: (704) 551-6868
- Organization
- Alzheimer Center (Dementia Center)
- CLIA Number: 34D0244369
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About SOUTHMINSTER INC
This page provides the complete NPI Profile along with additional information for Southminster Inc, a provider established in Charlotte, North Carolina operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1255596979 assigned on July 2008. The practitioner's primary taxonomy code is 311500000X with license number 0414 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Mary Cooper Rn Naa (Administrator)
- NPI
- 1255596979
- Provider Name
- SOUTHMINSTER INC
- Entity Type
- Organization
- Location Address
- 8919 PARK RD CHARLOTTE, NC 28210
- Location Phone
- (704) 551-6800
- Location Fax
- (704) 551-6868
- Mailing Address
- 8919 PARK RD CHARLOTTE, NC 28210
- Mailing Phone
- (704) 551-6800
- Mailing Fax
- (704) 551-6868
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2008
- Last Update Date
- 07-22-2008
- 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
Alzheimer Center (Dementia Center)
- Taxonomy Code
- 311500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0414
- License State
- NC
- Taxonomy Description
- A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | 0414 (NC) |
| 2 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 0414 (NC) |
| 3 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 0414 (NC) |
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
- 34D0244369
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DOTTIE WALLIN RN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southminster Inc 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.
Reviews for SOUTHMINSTER INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 5 | 9 | 6 | 9 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 9 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 9 + 1 + 2 + 9 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1255596979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JOAN FALLON OTR
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
KARLA KETTLER LPTA
Physical Therapy Assistant
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
MRS. TAMMY WILLIAMS NORMAN PT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
DENA MARIE MALIA OTR/L
Specialist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
MRS. JENNA HANLON ROPER MA, CCC/SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
SUSAN OSBORNE WILSON OTR/L
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
MAHANANDA ULLAGADDI PT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
MRS. OLGA HOFFER OTR/L
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
NEHA GHADIA
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
KAREY COOK
Physical Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
JESSICA CUSUMANO OTR
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
ANTHONY PETE HATTON LPTA
Nursing Care
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
MRS. JANAE MARIE HICKS COTA/L
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
COURTNEY SCHEIBLA PT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
DR. VIRGINIA GRACE MOELLER DPT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
CYNTHIA RIESENBERG
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
ERIN DACEY STRONG OTR/L
Occupational Therapist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
KACIE GAMM M.S CCC-SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
ANN ZIMMERMAN MS CCC-SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
LAUREN TOLAR MINYARD M.S., CCC-SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255596979, enumerated as an "organization" on July 22, 2008.
The provider is located at 8919 PARK RD CHARLOTTE, NC 28210 and the phone number is (704) 551-6800.
Alzheimer Center (Dementia Center) with taxonomy code 311500000X.
