CHARTER SENIOR LIVING OF PADUCAH
NPI 1689455297
Assisted Living Facility in Paducah, KY
About Charter Senior Living Of Paducah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARTER SENIOR LIVING OF PADUCAH (NPI 1689455297) is a healthcare organization registered as an assisted living facility in Paducah, Kentucky and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Cynthia Friedlin, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
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 18D2283972
Charter Senior Living Of Paducah · Paducah, KYFrequently 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 Charter Senior Living Of Paducah's NPI number?
The NPI number for Charter Senior Living Of Paducah is 1689455297. It was assigned to this organization in the NPPES registry on October 10, 2023. The provider is doing business as Dominion Village at Poquoson.
Where is Charter Senior Living Of Paducah located?
Charter Senior Living Of Paducah is located at 2201 New Holt Rd, Paducah, KY 42001. The listed phone number is (270) 297-4301.
What is Charter Senior Living Of Paducah's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Charter Senior Living Of Paducah hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2283972) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Charter Senior Living Of Paducah was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Charter Senior Living Of Paducah · NPI 1689455297
Assisted Living Facility organization in Paducah, Kentucky. Organization record, active in the CMS NPPES registry since October 10, 2023.
## Identity
- **NPI:** 1689455297 (Entity type: Organization)
- **Enumerated:** October 10, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Charter Senior Living of Paducah (Doing Business As); Dominion Village at Poquoson (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cynthia Friedlin, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 2201 NEW HOLT RD, Paducah, KY 42001-7553
- **Phone:** (270) 297-4301
## Record status
- **NPPES last updated:** October 10, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689455297) · Data from the CMS NPPES public registry.