WOODLAND COURT ELDER SERVICES LLC
NPI 1427378520
Assisted Living Facility in Merrill, WI
NPI Status: Active since June 11, 2010
Contact Information
1102 S CENTER AVE
MERRILL, WI
ZIP 54452
Phone: (715) 539-9700
Fax: (717) 539-9705
- Organization
- Assisted Living Facility
- CLIA Number: 52D0984888
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-01-2027
About WOODLAND COURT ELDER SERVICES LLC
This page provides the complete NPI Profile along with additional information for Woodland Court Elder Services Llc, a provider established in Merrill, Wisconsin operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1427378520 assigned on June 2010. The practitioner's primary taxonomy code is 310400000X with license number 0009754 (WI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Darrel Daniel Dengel (President)
- NPI
- 1427378520
- Provider Name
- WOODLAND COURT ELDER SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1102 S CENTER AVE MERRILL, WI 54452
- Location Phone
- (715) 539-9700
- Location Fax
- (717) 539-9705
- Mailing Address
- 1102 S CENTER AVE MERRILL, WI 54452
- Mailing Phone
- (715) 539-9700
- Mailing Fax
- (717) 539-9705
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2010
- Last Update Date
- 06-11-2010
- 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.
- 0009754
- License State
- WI
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | 0008890 (WI) |
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
- 52D0984888
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- April 02, 2025
- Certificate Expiration Date
- April 01, 2027
- Laboratory Director
- MELISSA D. DENGEL, RN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Woodland Court Elder Services 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 | 4 | 2 | 7 | 3 | 7 | 8 | 5 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 6 | 7 | 16 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 6 + 7 + 1 + 6 + 5 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1427378520 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1124647417 | MELISSA DENGEL Individual | Registered Nurse (General Practice) | 1102 S CENTER AVE MERRILL, WI 54452 (715) 539-9700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427378520, enumerated in the NPI registry as an "organization" on June 11, 2010
The provider is located at 1102 S Center Ave Merrill, Wi 54452 and the phone number is (715) 539-9700
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 52D0984888 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 11, 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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