LIFEHOUSE INE
NPI 1528240785
Intermediate Care Facility, Intellectual Disabilities in San Rafael, CA

NPI Status: Active since November 29, 2007

Contact Information

100 SMITH RANCH RD
SUITE 309
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 472-2373
Fax: (415) 472-5739

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About LIFEHOUSE INE

This page provides the complete NPI Profile along with additional information for Lifehouse Ine, a provider established in San Rafael, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1528240785 assigned on November 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Marin Assoc For Retarded Cizen. The authorized official of this NPI record is Ms. Merlyn Teague (Director Of Finance/administration)

NPI
1528240785
Provider Legal Name
LIFEHOUSE INE
Other Organization Name
MARIN ASSOC FOR RETARDED CIZEN
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
100 SMITH RANCH RD SUITE 309 SAN RAFAEL, CA 94903
Location Phone
(415) 472-2373
Location Fax
(415) 472-5739
Mailing Address
100 SMITH RANCH RD SUITE 309 SAN RAFAEL, CA 94903
Mailing Phone
(415) 472-2373
Mailing Fax
(415) 472-5739
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2007
Last Update Date
11-29-2007
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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.

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

MS. MERLYN TEAGUE

Authorized Official Title
DIRECTOR OF FINANCE/ADMINISTRATION
Authorized Official Phone
(415) 472-2373

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
CMCSUBJ49MEDICAID (05)CA 

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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.
1528240785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548440716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 4 + 0 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1528240785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013459254 KEN MAK PHARMD
Individual
Pharmacist100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 492-6369
1518488097 SHIRLEY FENG PHARMD
Individual
Pharmacist (Ambulatory Care)100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 492-6369
1275812232DR. DESIREE WEI PHARM.D.
Individual
Pharmacist100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 798-4776
1386165868 SIRENA LAU
Individual
Pharmacist (Ambulatory Care)100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 492-6369
1508418583 WALID KHALED ALJAYOSI PHARMD
Individual
Pharmacist (Ambulatory Care)100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 444-2000
1568828390 ALI AZARPIRA
Individual
Pharmacist (Ambulatory Care)100 SMITH RANCH RD KAISER PERMANENTE
SAN RAFAEL, CA 94903
(415) 492-6360
1558737379 HAMID AMELI PHARMD
Individual
Pharmacist (Psychiatric)100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 798-4777
1326789926 VANESSA RAQUEL SU ZHANG PHARMD
Individual
Pharmacist100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(916) 208-8175
1669822771 YEONBI AYLWARD PHARMD
Individual
Pharmacist (Ambulatory Care)100 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 523-0678

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528240785, enumerated in the NPI registry as an "organization" on November 29, 2007

The provider is located at 100 Smith Ranch Rd Suite 309 San Rafael, Ca 94903 and the phone number is (415) 472-2373

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

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.

This NPI record was last updated on November 29, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.