MOUNTAIN VALLEY DEVELOPMENTAL SERVICES
NPI 1093288714
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rifle, CO

NPI Status: Active since January 04, 2019

Contact Information

590 MOKI AVE
RIFLE, CO
ZIP 81650
Phone: (970) 945-2306

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 06D2228472
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 06-25-2025

About MOUNTAIN VALLEY DEVELOPMENTAL SERVICES

This page provides the complete NPI Profile along with additional information for Mountain Valley Developmental Services, a provider established in Rifle, Colorado operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1093288714 assigned on January 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Sara Nicole Sims (Executive Director)

NPI
1093288714
Provider Name
MOUNTAIN VALLEY DEVELOPMENTAL SERVICES
Entity Type
Organization
Location Address
590 MOKI AVE RIFLE, CO 81650
Location Phone
(970) 945-2306
Mailing Address
700 MOUNT SOPRIS DR GLENWOOD SPRINGS, CO 81601
Mailing Phone
(970) 945-2306
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2019
Last Update Date
01-04-2019
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

SARA NICOLE SIMS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(970) 945-2306

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
06D2228472
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
June 26, 2023
Certificate Expiration Date
June 25, 2025
Laboratory Director
SARA SIMMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mountain Valley Developmental Services 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 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.
1093288714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183481672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 4 + 8 + 1 + 6 + 7 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1093288714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093288714, enumerated in the NPI registry as an "organization" on January 04, 2019

The provider is located at 590 Moki Ave Rifle, Co 81650 and the phone number is (970) 945-2306

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider's CLIA number is 06D2228472 for a "intermediate care facility for mentally retarded" 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 January 04, 2019. 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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