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RUBY DONALD RESIDENTIAL CARE LLC
NPI 1427659960
Nursing Care in Greenville, SC

Active since November 02, 2020CLIA 42D2255883 · Waiver
2 RUBY DONALD PLACE, GREENVILLE, SC 29617(864) 905-1768(864) 752-1084 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ruby Donald Residential Care Llc NPPES

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

RUBY DONALD RESIDENTIAL CARE LLC (NPI 1427659960) is a healthcare organization registered as a nursing care in Greenville, South Carolina and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Beauty Jackson, Management, as its authorized official.

NPPES Registry Identity

NPI1427659960
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameRUBY DONALD RESIDENTIAL CARE LLC
Location Address2 RUBY DONALD PLACEGreenville, SC 29617
Mailing Address16 Elm StGreenville, SC 29605-4006 · (404) 394-6933 · Fax (864) 752-1084
Phone(864) 905-1768
Fax(864) 752-1084
Organization SubpartNo
Authorized OfficialBeauty JacksonManagement · (404) 394-6933
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1427659960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
2 RUBY DONALD PLACE, Greenville, SC 29617
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Other Names 1

Doing Business AsRuby Donald Residential Care Llc

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 42D2255883

Ruby Donald Residential Care · Greenville, SC
Active · expires Mar 17, 2028
CLIA Number42D2255883
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorJackie Miller
Laboratory Phone(864) 977-0834
Laboratory LocationRuby Donald Residential Care2 Ruby Donald Place, Building 4, Greenville, SC 29617
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ruby Donald Residential Care LLC's NPI number?

The NPI number for Ruby Donald Residential Care LLC is 1427659960. It was assigned to this organization in the NPPES registry on November 2, 2020.

Where is Ruby Donald Residential Care LLC located?

Ruby Donald Residential Care LLC is located at 2 Ruby Donald Place, Greenville, SC 29617. The listed phone number is (864) 905-1768.

What is Ruby Donald Residential Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Ruby Donald Residential Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2255883) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ruby Donald Residential Care LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.