MCMINNVILLE BOARDING HOME FOR THE ELDERLY
NPI 1811225568
Assisted Living Facility in Mcminnville, TN

Q: What is Mcminnville Boarding Home For The Elderly's specialty?

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

Active since November 18, 2009CLIA 44D2201973 · Waiver

345 GARFIELD ST., MCMINNVILLE, TN 37110(931) 473-4760(931) 474-8765 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mcminnville Boarding Home For The Elderly NPPES

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

MCMINNVILLE BOARDING HOME FOR THE ELDERLY (NPI 1811225568) is a healthcare organization registered as an assisted living facility in Mcminnville, Tennessee and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Alma Dean Mccormick, Owners, as its authorized official.

NPPES Registry Identity

NPI1811225568

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMCMINNVILLE BOARDING HOME FOR THE ELDERLY

Location Address345 GARFIELD ST.Mcminnville, TN 37110

Mailing Address345 Garfield St.Mcminnville, TN 37110 · (931) 473-4760 · Fax (931) 474-8765

Phone(931) 473-4760

Fax(931) 474-8765

Organization SubpartNo

Authorized OfficialAlma Dean MccormickOwners · (931) 473-4760

Enumeration DateNovember 18, 2009

✔ NPI 1811225568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TN · ACL0000000170

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.

345 GARFIELD ST., Mcminnville, TN 37110

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Other Identifiers 1

MedicaidH445153TN

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 44D2201973

Mcminnville Boarding Home For The Elderly · Mc Minnville, TN

Active · expires Nov 23, 2026

CLIA Number44D2201973

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 24, 2024

Certificate Expiration DateNovember 23, 2026

Laboratory DirectorAdam Bryan

Laboratory Phone(931) 473-4760

Laboratory LocationMcminnville Boarding Home For The Elderly345 Garfield Street, Mc Minnville, TN 37110

CLIA data matches this NPI record on: 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 Mcminnville Boarding Home For The Elderly's NPI number?

The NPI number for Mcminnville Boarding Home For The Elderly is 1811225568. It was assigned to this organization in the NPPES registry on November 18, 2009.

Where is Mcminnville Boarding Home For The Elderly located?

Mcminnville Boarding Home For The Elderly is located at 345 Garfield St., Mcminnville, TN 37110. The listed phone number is (931) 473-4760.

What is Mcminnville Boarding Home For The Elderly's specialty?

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

Does Mcminnville Boarding Home For The Elderly hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2201973) is associated with this NPI, valid through November 23, 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 Mcminnville Boarding Home For The Elderly was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.