CROASDAILE VILLAGE
NPI 1972587376
Skilled Nursing Facility in Durham, NC

NPI Status: Active since November 30, 2005

Contact Information

2600 CROASDAILE FARM PKWY
DURHAM, NC
ZIP 27705
Phone: (919) 384-2000
Fax: (919) 384-2480

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 34D0973408
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-03-2028

About CROASDAILE VILLAGE

This page provides the complete NPI Profile along with additional information for Croasdaile Village, a provider established in Durham, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1972587376 assigned on November 2005. The practitioner's primary taxonomy code is 314000000X with license number NH0587 (NC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Croasdaile Village. The authorized official of this NPI record is Mr. Jonathan P Erickson (Assistant Secretary)

NPI
1972587376
Provider Legal Name
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Other Organization Name
CROASDAILE VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2600 CROASDAILE FARM PKWY DURHAM, NC 27705
Location Phone
(919) 384-2000
Location Fax
(919) 384-2480
Mailing Address
2600 CROASDAILE FARM PARKWAY DURHAM, NC 27705
Mailing Phone
(919) 384-2000
Mailing Fax
(919) 384-2480
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2005
Last Update Date
03-06-2017
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
NH0587
License State
NC
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JONATHAN P ERICKSON

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(919) 384-3001

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
340612YMEDICAID (05)NC 
3405501MEDICAID (05)NC 
00880OTHER (01)NCBCBS
345501MEDICARE OSCAR/CERTIFICATION (06)NC 

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
34D0973408
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 04, 2026
Certificate Expiration Date
May 03, 2028
Laboratory Director
REBECCA MARION
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Croasdaile Village 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 CROASDAILE VILLAGE

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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 1972587376, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 0 + 8 + 1 + 4 + 3 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1972587376.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Clinic/Center (Health Service)
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Physical Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Speech-Language Pathologist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Occupational Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Physical Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Speech-Language Pathologist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Occupational Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Occupational Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Occupational Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Nurse Practitioner (Family)
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Nurse Practitioner (Family)
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Physical Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Physical Therapist
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Nurse Practitioner (Family)
2600 CROASDAILE FARM PKWY
DURHAM, NC 27705
Nurse Practitioner (Adult Health)
2600 CROASDAILE FARM PKWY, AMBULATORY CARE CLINIC
DURHAM, NC 27705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972587376, enumerated as an "organization" on November 30, 2005.

The provider is located at 2600 CROASDAILE FARM PKWY DURHAM, NC 27705 and the phone number is (919) 384-2000.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare,. Please consult your insurance carrier or call the provider to verify.