TERRACE AT BLUEGRASS SENIOR LIVING COMMUNITY
NPI 1821216425
Assisted Living Facility in Hendersonville, TN

NPI Status: Active since April 22, 2007

Contact Information

674 E MAIN ST
HENDERSONVILLE, TN
ZIP 37075
Phone: (615) 824-4552
Fax: (503) 485-1279

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 44D1102621
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 07-21-2027

About TERRACE AT BLUEGRASS SENIOR LIVING COMMUNITY

This page provides the complete NPI Profile along with additional information for Terrace At Bluegrass Senior Living Community, a provider established in Hendersonville, Tennessee operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1821216425 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number ACL0000000141 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Terrace At Bluegrass Senior Living Community. The authorized official of this NPI record is Jon M Harder (Manager)

NPI
1821216425
Provider Legal Name
HENDERSONVILLE RG PROPERTY LLC
Other Organization Name
TERRACE AT BLUEGRASS SENIOR LIVING COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
674 E MAIN ST HENDERSONVILLE, TN 37075
Location Phone
(615) 824-4552
Location Fax
(503) 485-1279
Mailing Address
PO BOX 3006 SALEM, OR 97302
Mailing Phone
(503) 375-9016
Mailing Fax
(503) 485-1279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2007
Last Update Date
07-22-2008
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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.
ACL0000000141
License State
TN
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

ACL0000000141 (TN)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON M HARDER

Authorized Official Title
MANAGER
Authorized Official Phone
(503) 375-9016

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
44D1102621
Facility Type
Other
Certificate Effective Date
July 22, 2025
Certificate Expiration Date
July 21, 2027
Laboratory Director
DESIREE TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Terrace At Bluegrass Senior Living Community 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.

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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 1821216425, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 4 + 1 + 1 + 2 + 4 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821216425.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community Health Worker
674 E MAIN ST
HENDERSONVILLE, TN 37075
Speech-Language Pathologist
674 E MAIN ST
HENDERSONVILLE, TN 37075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821216425, enumerated as an "organization" on April 22, 2007.

The provider is located at 674 E MAIN ST HENDERSONVILLE, TN 37075 and the phone number is (615) 824-4552.

Assisted Living Facility with taxonomy code 310400000X.