WEEPING RIDGE ESTATE ADULT FAMILY HOME INC
NPI 1457756421
Custodial Care Facility - Adult Care Home in Othello, WA
NPI Status: Active since November 03, 2014
Contact Information
2455 W. BENCH RD
OTHELLO, WA
ZIP 99344
Phone: (509) 989-1843
Fax: (509) 465-1813
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 50D2313745
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About WEEPING RIDGE ESTATE ADULT FAMILY HOME INC
This page provides the complete NPI Profile along with additional information for Weeping Ridge Estate Adult Family Home Inc, a provider established in Othello, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1457756421 assigned on November 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 378700 (WA). 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. Israel Rodriguez (Administrator)
- NPI
- 1457756421
- Provider Name
- WEEPING RIDGE ESTATE ADULT FAMILY HOME INC
- Entity Type
- Organization
- Location Address
- 2455 W. BENCH RD OTHELLO, WA 99344
- Location Phone
- (509) 989-1843
- Location Fax
- (509) 465-1813
- Mailing Address
- 12402 OSPREY RD NINE MILE FALLS, WA 99026
- Mailing Phone
- (509) 989-1843
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2014
- Last Update Date
- 11-03-2014
- 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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 378700
- License State
- WA
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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.
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 |
|---|---|---|---|
| 270753 | OTHER (01) | WA | ADULT FAMILY HOME |
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
- 50D2313745
- Facility Type
- Other - AFH
- Certificate Effective Date
- November 06, 2024
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ISRAEL RODRIGUEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Weeping Ridge Estate Adult Family Home Inc 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 | 5 | 7 | 7 | 5 | 6 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 14 | 5 | 12 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 4 + 5 + 1 + 2 + 4 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1457756421 is valid because the calculated check digit 1 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 1457756421, enumerated in the NPI registry as an "organization" on November 03, 2014
The provider is located at 2455 W. Bench Rd Othello, Wa 99344 and the phone number is (509) 989-1843
This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home
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 50D2313745 for a "other - afh" 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 November 03, 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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