PARK PLACE ESTATES
NPI 1013079102
Assisted Living Facility in Le Mars, IA

NPI Status: Active since December 14, 2006

Contact Information

900 LINCOLN ST NE
LE MARS, IA
ZIP 51031
Phone: (712) 546-3398
Fax: (712) 546-3352

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 16D1035667
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-06-2027

About PARK PLACE ESTATES

This page provides the complete NPI Profile along with additional information for Park Place Estates, a provider established in Le Mars, Iowa operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1013079102 assigned on December 2006. The practitioner's primary taxonomy code is 310400000X with license number S0021 (IA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Park Place Estates. The authorized official of this NPI record is Mr. Daryl J Friedenbach (Director Of Fiscal Services)

NPI
1013079102
Provider Legal Name
FLOYD VALLEY HOSPITAL
Other Organization Name
PARK PLACE ESTATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 LINCOLN ST NE LE MARS, IA 51031
Location Phone
(712) 546-3398
Location Fax
(712) 546-3352
Mailing Address
900 LINCOLN ST NE LE MARS, IA 51031
Mailing Phone
(712) 546-3398
Mailing Fax
(712) 546-3352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2006
Last Update Date
08-22-2020
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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.
S0021
License State
IA
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

MR. DARYL J FRIEDENBACH

Authorized Official Title
DIRECTOR OF FISCAL SERVICES
Authorized Official Phone
(712) 546-3338

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
16D1035667
Facility Type
Assisted Living Facility
Certificate Effective Date
January 07, 2025
Certificate Expiration Date
January 06, 2027
Laboratory Director
DONDEE HALVERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Place Estates 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 PARK PLACE ESTATES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013079102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013079102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164263026STONEBRIDGE SUITES OF LE MARS LLC
Organization
Assisted Living Facility900 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-6793

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013079102, enumerated in the NPI registry as an "organization" on December 14, 2006

The provider is located at 900 Lincoln St Ne Le Mars, Ia 51031 and the phone number is (712) 546-3398

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 16D1035667 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on December 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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