BRIGHTMOOR ASSISTED LIVING, INC.
NPI 1639448913
Assisted Living Facility in Griffin, GA
NPI Status: Active since December 15, 2011
Contact Information
3223 NEWNAN RD
GRIFFIN, GA
ZIP 30223
Phone: (770) 227-9950
Fax: (770) 227-9958
- Organization
- Assisted Living Facility
- CLIA Number: 11D2238477
- CLIA Cert. Type: Other - PERSONAL CARE HOME
- CLIA Exp. Date: 10-04-2025
About BRIGHTMOOR ASSISTED LIVING, INC.
This page provides the complete NPI Profile along with additional information for Brightmoor Assisted Living, Inc., a provider established in Griffin, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1639448913 assigned on December 2011. The practitioner's primary taxonomy code is 310400000X with license number 126030031 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Penny Griffin (Regional Vp Of Operations)
- NPI
- 1639448913
- Provider Name
- BRIGHTMOOR ASSISTED LIVING, INC.
- Entity Type
- Organization
- Location Address
- 3223 NEWNAN RD GRIFFIN, GA 30223
- Location Phone
- (770) 227-9950
- Location Fax
- (770) 227-9958
- Mailing Address
- P. O. BOX 965 GRIFFIN, GA 30224
- Mailing Phone
- (770) 227-9950
- Mailing Fax
- (770) 227-9958
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-15-2011
- Last Update Date
- 12-15-2011
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 126030031
- License State
- GA
- 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.
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
- 11D2238477
- Facility Type
- Other - PERSONAL CARE HOME
- Certificate Effective Date
- October 05, 2023
- Certificate Expiration Date
- October 04, 2025
- Laboratory Director
- TIFFANI P. VIRDEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brightmoor Assisted Living, Inc. 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.
Reviews for BRIGHTMOOR ASSISTED LIVING, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 6 | 3 | 9 | 4 | 4 | 8 | 9 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 4 | 16 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 4 + 1 + 6 + 9 + 2 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1639448913 is valid because the calculated check digit 3 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 1639448913, enumerated as an "organization" on December 15, 2011.
The provider is located at 3223 NEWNAN RD GRIFFIN, GA 30223 and the phone number is (770) 227-9950.
Assisted Living Facility with taxonomy code 310400000X.
