BAILEY PARK COMMUNITY LIVING CENTER
NPI 1275523854
Skilled Nursing Facility in Humboldt, TN
About Bailey Park Community Living Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAILEY PARK COMMUNITY LIVING CENTER (NPI 1275523854) is a healthcare organization registered as a skilled nursing facility in Humboldt, Tennessee and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Douglas M. Wright, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 for Provider-Performed Microscopy Procedures (PPMP) 44D0858592
Clc Humboldt LLC Dba Bailey Park Community Living Center · Humboldt, TNOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clc Of Humboldt, LLC's NPI number?
The NPI number for Clc Of Humboldt, LLC is 1275523854. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as Bailey Park Community Living Center.
Where is Clc Of Humboldt, LLC located?
Clc Of Humboldt, LLC is located at 2400 E Mitchell St, Humboldt, TN 38343. The listed phone number is (731) 784-5183.
What is Clc Of Humboldt, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Clc Of Humboldt, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0858592) 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 Clc Of Humboldt, LLC was last updated on January 28, 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.