ASHLAN VILLAGE RETIREMENT COMMUNITY
NPI 1649436791
Assisted Living Facility in Lyman, SC

Active since July 29, 2008CLIA 42D1093760 · Waiver
415 BRENDA WAY, LYMAN, SC 29365(864) 949-7825 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashlan Village Retirement Community NPPES

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

ASHLAN VILLAGE RETIREMENT COMMUNITY (NPI 1649436791) is a healthcare organization registered as an assisted living facility in Lyman, South Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Alton G. Free, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649436791
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASHLAN VILLAGE RETIREMENT COMMUNITY
Location Address415 BRENDA WAYLyman, SC 29365
Mailing Address415 Brenda WayLyman, SC 29365 · (864) 949-7825
Organization SubpartNo
Authorized OfficialAlton G. FreeExecutive Director · (864) 949-7825
Enumeration DateJuly 29, 2008
NPI 1649436791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

415 BRENDA WAY, Lyman, SC 29365

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 42D1093760

Ashlan Village · Lyman, SC
Active · expires Dec 30, 2026
CLIA Number42D1093760
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorLynel Hill
Laboratory Phone(864) 949-7825
Laboratory LocationAshlan Village415 Brenda Way, Lyman, SC 29365
CLIA data matches this NPI record on: Address Name Phone
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 Ashlan Village Retirement Community's NPI number?

The NPI number for Ashlan Village Retirement Community is 1649436791. It was assigned to this organization in the NPPES registry on July 29, 2008.

Where is Ashlan Village Retirement Community located?

Ashlan Village Retirement Community is located at 415 Brenda Way, Lyman, SC 29365. The listed phone number is (864) 949-7825.

What is Ashlan Village Retirement Community's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Ashlan Village Retirement Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1093760) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ashlan Village Retirement Community was last updated on July 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.