ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC
NPI 1104333087
Clinic/Center - Adult Day Care in Fitchburg, MA
NPI Status: Active since January 02, 2018
Contact Information
783 WATER ST
FITCHBURG, MA
ZIP 01420
Phone: (978) 400-7604
Fax: (978) 268-5242
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 22D2140725
- CLIA Cert. Type: Other - ADULT DAY HEALTH
- CLIA Exp. Date: 11-28-2025
About ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC
This page provides the complete NPI Profile along with additional information for Active Life Health Care Management, Llc, a provider established in Fitchburg, Massachusetts operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1104333087 assigned on January 2018. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Vladimir Giterman (Owner)
- NPI
- 1104333087
- Provider Name
- ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC
- Entity Type
- Organization
- Location Address
- 783 WATER ST FITCHBURG, MA 01420
- Location Phone
- (978) 400-7604
- Location Fax
- (978) 268-5242
- Mailing Address
- 783 WATER ST FITCHBURG, MA 01420
- Mailing Phone
- (978) 400-7604
- Mailing Fax
- (978) 268-5242
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2018
- Last Update Date
- 01-02-2018
- Code Navigator
Location Map
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
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
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
- 22D2140725
- Facility Type
- Other - ADULT DAY HEALTH
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- VLADIMIR GITERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Active Life Health Care Management, Llc 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. | |||||||||
| 1 | 1 | 0 | 4 | 3 | 3 | 3 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 6 | 3 | 6 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 6 + 3 + 6 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104333087 is valid because the calculated check digit 7 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 1104333087, enumerated in the NPI registry as an "organization" on January 02, 2018
The provider is located at 783 Water St Fitchburg, Ma 01420 and the phone number is (978) 400-7604
This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care
The provider's CLIA number is 22D2140725 for a "other - adult day health" 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 02, 2018. 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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