COASTAL COMMUNITY RETIREMENT CORPORATION
NPI 1588674261
Skilled Nursing Facility in St. Simons Island, GA
NPI Status: Active since August 08, 2006
Contact Information
111 RENEGAR WAY
ST. SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 291-2038
- Organization
- Skilled Nursing Facility
- CLIA Number: 11D2302612
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-11-2026
About COASTAL COMMUNITY RETIREMENT CORPORATION
This page provides the complete NPI Profile along with additional information for Coastal Community Retirement Corporation, a provider established in St. Simons Island, Georgia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1588674261 assigned on August 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Robert B Rees (Executive Director)
- NPI
- 1588674261
- Provider Name
- COASTAL COMMUNITY RETIREMENT CORPORATION
- Entity Type
- Organization
- Location Address
- 111 RENEGAR WAY ST. SIMONS ISLAND, GA 31522
- Location Phone
- (912) 291-2038
- Mailing Address
- 111 RENEGAR WAY ST. SIMONS ISLAND, GA 31522
- Mailing Phone
- (912) 291-2023
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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
- 11D2302612
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 12, 2024
- Certificate Expiration Date
- April 11, 2026
- Laboratory Director
- BRIANA GRAY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coastal Community Retirement Corporation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588674261, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588674261, enumerated as an "organization" on August 08, 2006.
The provider is located at 111 RENEGAR WAY ST. SIMONS ISLAND, GA 31522 and the phone number is (912) 291-2038.
Skilled Nursing Facility with taxonomy code 314000000X.
