INDEPENDENCE VILLAGE AVON LAKE LLC.
NPI 1245645332
Assisted Living Facility in Avon Lake, OH
NPI Status: Active since June 26, 2014
Contact Information
345 LEAR RD
AVON LAKE, OH
ZIP 44012
Phone: (440) 930-7100
Fax: (440) 930-2679
- Organization
- Assisted Living Facility
- CLIA Number: 36D2203873
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-06-2026
About INDEPENDENCE VILLAGE AVON LAKE LLC.
This page provides the complete NPI Profile along with additional information for Independence Village Avon Lake Llc., a provider established in Avon Lake, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1245645332 assigned on June 2014. The practitioner's primary taxonomy code is 310400000X with license number 2361R (OH). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Jeffrey Alan Knight (Executive Director)
- NPI
- 1245645332
- Provider Name
- INDEPENDENCE VILLAGE AVON LAKE LLC.
- Entity Type
- Organization
- Location Address
- 345 LEAR RD AVON LAKE, OH 44012
- Location Phone
- (440) 930-7100
- Location Fax
- (440) 930-2679
- Mailing Address
- 345 LEAR RD AVON LAKE, OH 44012
- Mailing Phone
- (440) 930-7100
- Mailing Fax
- (440) 930-2679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2014
- Last Update Date
- 06-26-2014
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 2361R
- License State
- OH
- 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.
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
- 36D2203873
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 07, 2024
- Certificate Expiration Date
- December 06, 2026
- Laboratory Director
- TERESA L. HONAKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Independence Village Avon Lake 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 | 2 | 4 | 5 | 6 | 4 | 5 | 3 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 12 | 4 | 10 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 2 + 4 + 1 + 0 + 3 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1245645332 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629622089 | LAURA JUNE MAYER OTD, OTR/L Individual | Occupational Therapist | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
| 1972157899 | JODI WASHBURN PT Individual | Physical Therapist | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
| 1265004105 | NIKKI KRISCHER PTA Individual | Physical Therapy Assistant | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
| 1235885864 | KATELYN WARD Individual | Speech-Language Pathologist | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
| 1396488755 | ALISON WISWELL Individual | Occupational Therapy Assistant | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
| 1962893412 | POWERBACK REHABILITATION LLC Organization | Clinic/Center (Rehabilitation) | 345 LEAR RD AVON LAKE, OH 44012 (440) 961-2070 |
| 1144088816 | DANIELLE MARIE FLUHARTY COTA/L Individual | Occupational Therapy Assistant | 345 LEAR RD AVON LAKE, OH 44012 (440) 930-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245645332, enumerated in the NPI registry as an "organization" on June 26, 2014
The provider is located at 345 Lear Rd Avon Lake, Oh 44012 and the phone number is (440) 930-7100
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 36D2203873 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 June 26, 2014. 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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