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SOUTHMINSTER INC
NPI 1255596979
Alzheimer Center (Dementia Center) in Charlotte, NC

Active since July 22, 2008CLIA 34D0244369 · Waiver
8919 PARK RD, CHARLOTTE, NC 28210(704) 551-6800(704) 551-6868 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southminster Inc NPPES

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

SOUTHMINSTER INC (NPI 1255596979) is a healthcare organization registered as an alzheimer center (dementia center) in Charlotte, North Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Cooper, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255596979
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameSOUTHMINSTER INC
Location Address8919 PARK RDCharlotte, NC 28210
Mailing Address8919 Park RdCharlotte, NC 28210 · (704) 551-6800 · Fax (704) 551-6868
Phone(704) 551-6800
Fax(704) 551-6868
Organization SubpartNo
Authorized OfficialMary CooperAdministrator · (704) 551-7118
Enumeration DateJuly 22, 2008
✔ NPI 1255596979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in NC · 0414
Definition
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 0414 (NC)
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 0414 (NC)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 0414 (NC)
8919 PARK RD, Charlotte, NC 28210
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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 34D0244369

Southminster Inc · Charlotte, NC
Active · expires Aug 31, 2026
CLIA Number34D0244369
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDottie Wallin Rn
Laboratory Phone(704) 551-6800
Laboratory LocationSouthminster Inc8919 Park Rd, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. JENNA HANLON ROPER MA, CCC/SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 551-6100
LEGACY HEALTHCARE SERVICES INC
Physical Therapist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 556-3428
ADRIAN ROMERO DPT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 551-6800
ANTHONY PETE HATTON LPTA
Nursing Care
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (705) 556-3428
KACIE GAMM M.S CCC-SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 551-6800
NICOLE FARINO CCC-SLP
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 551-6800
CYNTHIA RIESENBERG
Speech-Language Pathologist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 551-6800
LAINA JEANNE TROMBETTA PT
Physical Therapist
8919 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (845) 661-1838

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 Southminster Inc's NPI number?

The NPI number for Southminster Inc is 1255596979. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Southminster Inc located?

Southminster Inc is located at 8919 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 551-6800.

What is Southminster Inc's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Southminster Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244369) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southminster Inc was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.