REGENCY RETIREMENT VILLAGE
NPI 1992933451
Assisted Living Facility in Morristown, TN

NPI Status: Active since June 23, 2009

Contact Information

739 E. 2ND ST.
MORRISTOWN, TN
ZIP 37814
Phone: (423) 581-7075
Fax: (423) 581-7964

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 44D1031334
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 09-28-2026

About REGENCY RETIREMENT VILLAGE

This page provides the complete NPI Profile along with additional information for Regency Retirement Village, a provider established in Morristown, Tennessee operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1992933451 assigned on June 2009. The practitioner's primary taxonomy code is 310400000X with license number 0000000288 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Regency Retirement Village. The authorized official of this NPI record is Thomas P. Boler (Cfo)

NPI
1992933451
Provider Legal Name
MORRISTOWN SENIOR SERVICES
Other Organization Name
REGENCY RETIREMENT VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
739 E. 2ND ST. MORRISTOWN, TN 37814
Location Phone
(423) 581-7075
Location Fax
(423) 581-7964
Mailing Address
739 E. 2ND ST. MORRISTOWN, TN 37814
Mailing Phone
(423) 581-7075
Mailing Fax
(423) 581-7964
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2009
Last Update Date
06-23-2009
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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.
0000000288
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.

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

THOMAS P. BOLER

Authorized Official Title
CFO
Authorized Official Phone
(423) 238-8087

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
44D1031334
Facility Type
Other
Certificate Effective Date
September 29, 2024
Certificate Expiration Date
September 28, 2026
Laboratory Director
TRUDY DARNELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regency Retirement 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.

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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 1992933451, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 9 → 18 → 9 9 → 18 → 9 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 1 + 8 + 3 + 6 + 4 + 1 + 0 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1992933451.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992933451, enumerated as an "organization" on June 23, 2009.

The provider is located at 739 E. 2ND ST. MORRISTOWN, TN 37814 and the phone number is (423) 581-7075.

Assisted Living Facility with taxonomy code 310400000X.