DESERT WINDS ASSISTED LIVING
NPI 1295059798
Assisted Living Facility in Peoria, AZ

NPI Status: Active since March 26, 2010

Contact Information

20545 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382
Phone: (623) 322-0600
Fax: (623) 322-0610

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 03D1060408
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-22-2026

About DESERT WINDS ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Desert Winds Assisted Living, a provider established in Peoria, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1295059798 assigned on March 2010. The practitioner's primary taxonomy code is 310400000X with license number AL2539C (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kristen Stevenson (Corporate Controller)

NPI
1295059798
Provider Name
DESERT WINDS ASSISTED LIVING
Entity Type
Organization
Location Address
20545 N LAKE PLEASANT RD PEORIA, AZ 85382
Location Phone
(623) 322-0600
Location Fax
(623) 322-0610
Mailing Address
8432 E SHEA BLVD STE 100 SCOTTSDALE, AZ 85260
Mailing Phone
(480) 348-0300
Mailing Fax
(623) 322-0610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2010
Last Update Date
10-02-2023
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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.
AL2539C
License State
AZ
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

KRISTEN STEVENSON

Authorized Official Title
CORPORATE CONTROLLER
Authorized Official Phone
(480) 348-0300

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
03D1060408
Facility Type
Other
Certificate Effective Date
October 23, 2024
Certificate Expiration Date
October 22, 2026
Laboratory Director
JENELLE R. JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Desert Winds Assisted Living 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.
1295059798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221850518718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 0 + 5 + 1 + 8 + 7 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1295059798 is valid because the calculated check digit 8 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 1295059798, enumerated in the NPI registry as an "organization" on March 26, 2010

The provider is located at 20545 N Lake Pleasant Rd Peoria, Az 85382 and the phone number is (623) 322-0600

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

The provider's CLIA number is 03D1060408 for a "other" 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 March 26, 2010. 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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