COLUMBIA RIDGE ASSISTED LIVING, LLC
NPI 1235355454
Assisted Living Facility in Washougal, WA

NPI Status: Active since April 17, 2007

Contact Information

2300 W 9TH ST
WASHOUGAL, WA
ZIP 98671
Phone: (360) 335-1238
Fax: (360) 833-0615

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2254844
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About COLUMBIA RIDGE ASSISTED LIVING, LLC

This page provides the complete NPI Profile along with additional information for Columbia Ridge Assisted Living, Llc, a provider established in Washougal, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1235355454 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number BH1521 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Columbia Ridge Assisted Living, Llc. The authorized official of this NPI record is Richard Taylor (Executive Director)

NPI
1235355454
Provider Legal Name
WASHOUGAL ASSISTED LIVING, LLC
Other Organization Name
COLUMBIA RIDGE ASSISTED LIVING, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2300 W 9TH ST WASHOUGAL, WA 98671
Location Phone
(360) 335-1238
Location Fax
(360) 833-0615
Mailing Address
4610 NE 77TH AVE SUITE 132 VANCOUVER, WA 98662
Mailing Phone
(360) 449-4524
Mailing Fax
(360) 833-0615
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
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.
BH1521
License State
WA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

RICHARD TAYLOR

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(360) 335-1238

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
465651MEDICAID (05)WA 

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
50D2254844
Facility Type
Assisted Living Facility
Certificate Effective Date
March 08, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
LORRAINE BRANNUM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Columbia Ridge Assisted Living, 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.

Reviews for COLUMBIA RIDGE ASSISTED LIVING, LLC

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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.
1235355454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22656510410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 5 + 1 + 0 + 4 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1235355454 is valid because the calculated check digit 4 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
1649071291ARCADIA AT LOOKOUT RIDGE ASSISTED LIVING LLC
Organization
Assisted Living Facility2300 W 9TH ST
WASHOUGAL, WA 98671
(360) 608-1523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235355454, enumerated in the NPI registry as an "organization" on April 17, 2007

The provider is located at 2300 W 9th St Washougal, Wa 98671 and the phone number is (360) 335-1238

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D2254844 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 April 17, 2007. 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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