HANSEN HOUSE HARLAN
NPI 1245807726
Assisted Living Facility in Harlan, IA

NPI Status: Active since June 04, 2021

Contact Information

703 DYE ST
HARLAN, IA
ZIP 51537
Phone: (712) 733-8783
Fax: (712) 733-8783

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 16D2154638
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-16-2026

About HANSEN HOUSE HARLAN

This page provides the complete NPI Profile along with additional information for Hansen House Harlan, a provider established in Harlan, Iowa operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1245807726 assigned on June 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jennifer Dawn Harbaugh Rn (Health Care Coordinator)

NPI
1245807726
Provider Name
HANSEN HOUSE HARLAN
Entity Type
Organization
Location Address
703 DYE ST HARLAN, IA 51537
Location Phone
(712) 733-8783
Location Fax
(712) 733-8783
Mailing Address
703 DYE ST HARLAN, IA 51537
Mailing Phone
(712) 733-8783
Mailing Fax
(712) 733-8783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2021
Last Update Date
06-04-2021
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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
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.

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

JENNIFER DAWN HARBAUGH RN

Authorized Official Title
HEALTH CARE COORDINATOR
Authorized Official Phone
(402) 981-0801

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
16D2154638
Facility Type
Assisted Living Facility
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
BILL MCCARTY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hansen House Harlan 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.
1245807726
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851601474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 0 + 1 + 4 + 7 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1245807726 is valid because the calculated check digit 6 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 1245807726, enumerated in the NPI registry as an "organization" on June 04, 2021

The provider is located at 703 Dye St Harlan, Ia 51537 and the phone number is (712) 733-8783

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

The provider's CLIA number is 16D2154638 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 04, 2021. 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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