FAIRVIEW CARE CENTER - EAST
NPI 1174520472
Nursing Facility/Intermediate Care Facility in Salt Lake City, UT
NPI Status: Active since June 30, 2005
Contact Information
455 S 900 E
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 355-6891
Fax: (801) 521-5248
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 46D0998678
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-21-2026
About FAIRVIEW CARE CENTER - EAST
This page provides the complete NPI Profile along with additional information for Fairview Care Center - East, a provider established in Salt Lake City, Utah operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1174520472 assigned on June 2005. The practitioner's primary taxonomy code is 313M00000X with license number 2005-NCF-107 (UT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fairview Care Center - East. The authorized official of this NPI record is Mr. John Ray Burton (Ceo)
- NPI
- 1174520472
- Provider Legal Name
- FAIRVIEW CARE CENTER - EAST, INC.
- Other Organization Name
- FAIRVIEW CARE CENTER - EAST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 455 S 900 E SALT LAKE CITY, UT 84102
- Location Phone
- (801) 355-6891
- Location Fax
- (801) 521-5248
- Mailing Address
- 455 S 900 E SALT LAKE CITY, UT 84102
- Mailing Phone
- (801) 355-6891
- Mailing Fax
- (801) 521-5248
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 08-22-2020
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 2005-NCF-107
- License State
- UT
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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
- 46D0998678
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- April 22, 2024
- Certificate Expiration Date
- April 21, 2026
- Laboratory Director
- ROBERT ADAMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fairview Care Center - East 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 | 7 | 4 | 5 | 2 | 0 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 2 | 0 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 0 + 4 + 1 + 4 + 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 = 2 | 2 | ||||||||
The NPI number 1174520472 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 |
|---|---|---|---|
| 1720328529 | BEAVER VALLEY HOSPITAL Organization | Nursing Facility/Intermediate Care Facility | 455 S 900 E SALT LAKE CITY, UT 84102 (801) 363-6340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174520472, enumerated in the NPI registry as an "organization" on June 30, 2005
The provider is located at 455 S 900 E Salt Lake City, Ut 84102 and the phone number is (801) 355-6891
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider's CLIA number is 46D0998678 for a "skilled nursing facility/nursing 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 June 30, 2005. 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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