WILFORD
NPI 1588045199
Intermediate Care Facility, Intellectual Disabilities in Donelson, TN

NPI Status: Active since June 10, 2015

Contact Information

2410 WILFORD DRIVE
DONELSON, TN
ZIP 37214
Phone: (615) 231-5373
Fax: (615) 231-5074

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 44D2202112
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 11-23-2026

About WILFORD

This page provides the complete NPI Profile along with additional information for Wilford, a provider established in Donelson, Tennessee operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1588045199 assigned on June 2015. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Wilford. The authorized official of this NPI record is Ms. Jama Mccroskey Phillips Bs (Middle Tennessee Homes Director)

NPI
1588045199
Provider Legal Name
MIDDLE TENNESSEE HOMES
Other Organization Name
WILFORD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2410 WILFORD DRIVE DONELSON, TN 37214
Location Phone
(615) 231-5373
Location Fax
(615) 231-5074
Mailing Address
400 DEADRICK STREET CITIZENS PLAZA SUITE 900 NASHVILLE, TN 37243
Mailing Phone
(615) 231-5373
Mailing Fax
(615) 231-5074
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2015
Last Update Date
06-10-2015
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. JAMA MCCROSKEY PHILLIPS BS

Authorized Official Title
MIDDLE TENNESSEE HOMES DIRECTOR
Authorized Official Phone
(615) 231-5373

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7447010MEDICAID (05)TN 
7447184MEDICAID (05)TN 
7447187MEDICAID (05)TN 
7447188MEDICAID (05)TN 
7447185MEDICAID (05)TN 
7447186MEDICAID (05)TN 

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
44D2202112
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
November 24, 2024
Certificate Expiration Date
November 23, 2026
Laboratory Director
ANTHONY EKWO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wilford 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.
1588045199
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251680410118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 0 + 4 + 1 + 0 + 1 + 1 + 8 + 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 = 99

The NPI number 1588045199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588045199, enumerated as an "organization" on June 10, 2015.

The provider is located at 2410 WILFORD DRIVE DONELSON, TN 37214 and the phone number is (615) 231-5373.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.