MORNINGSIDE OF CAMDEN
NPI 1285673624
Assisted Living Facility in Camden, SC

NPI Status: Active since June 04, 2006

Contact Information

719 KERSHAW HWY
CAMDEN, SC
ZIP 29020
Phone: (803) 713-8668
Fax: (803) 424-4899

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 42D0992066
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-04-2025

About MORNINGSIDE OF CAMDEN

This page provides the complete NPI Profile along with additional information for Morningside Of Camden, a provider established in Camden, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1285673624 assigned on June 2006. The practitioner's primary taxonomy code is 310400000X with license number CRC-1259 (SC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Morningside Of Camden. The authorized official of this NPI record is Bruce J Mackey Jr. (President & Chief Executive Officer)

NPI
1285673624
Provider Legal Name
MORNINGSIDE OF CAMDEN, LLC
Other Organization Name
MORNINGSIDE OF CAMDEN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
719 KERSHAW HWY CAMDEN, SC 29020
Location Phone
(803) 713-8668
Location Fax
(803) 424-4899
Mailing Address
400 CENTRE ST NEWTON, MA 02458
Mailing Phone
(617) 796-8387
Mailing Fax
(803) 424-4899
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2006
Last Update Date
06-27-2016
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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.
CRC-1259
License State
SC
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRUCE J MACKEY JR.

Authorized Official Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(617) 796-8214

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
42D0992066
Facility Type
Assisted Living Facility
Certificate Effective Date
October 05, 2023
Certificate Expiration Date
October 04, 2025
Laboratory Director
DAWN LEWIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Morningside Of Camden 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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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.
1285673624
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165127664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 6 + 6 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1285673624 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SNH SC TENANT LLC

Assisted Living Facility

719 KERSHAW HWY
CAMDEN, SC
ZIP 29020

(803) 713-8668

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285673624, enumerated as an "organization" on June 04, 2006.

The provider is located at 719 KERSHAW HWY CAMDEN, SC 29020 and the phone number is (803) 713-8668.

Assisted Living Facility with taxonomy code 310400000X.