KINGSBRIDGE HOUSE
NPI 1538497490
Assisted Living Facility in Brevard, NC
NPI Status: Active since December 03, 2009
- Organization
- Assisted Living Facility
- CLIA Number: 34D2019423
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-23-2025
About KINGSBRIDGE HOUSE
This page provides the complete NPI Profile along with additional information for Kingsbridge House, a provider established in Brevard, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1538497490 assigned on December 2009. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Kingsbridge House. The authorized official of this NPI record is Charles E Trefzger Jr. (Authorized Official)
- NPI
- 1538497490
- Provider Legal Name
- BREVARD NORTH OPERATING AL, LLC
- Other Organization Name
- KINGSBRIDGE HOUSE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10 SUGARLOAF RD BREVARD, NC 28712
- Location Phone
- (828) 884-6137
- Mailing Address
- PO BOX 2568 HICKORY, NC 28603
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2009
- Last Update Date
- 12-03-2009
- 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 State
- NC
- 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.
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
- 34D2019423
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 24, 2023
- Certificate Expiration Date
- October 23, 2025
- Laboratory Director
- DANIELLE WILSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kingsbridge House 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 | 5 | 3 | 8 | 4 | 9 | 7 | 4 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 8 | 9 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 8 + 9 + 1 + 4 + 4 + 1 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1538497490 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487640504 | KINGSBRIDGE HOUSE, LLC Organization | Assisted Living Facility | 10 SUGARLOAF RD BREVARD, NC 28712 (828) 884-6137 |
| 1114263845 | WP-BREVARD HEALTH HOLDINGS II, LLC Organization | Custodial Care Facility (Adult Care Home) | 10 SUGARLOAF RD BREVARD, NC 28712 (828) 884-6137 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538497490, enumerated in the NPI registry as an "organization" on December 03, 2009
The provider is located at 10 Sugarloaf Rd Brevard, Nc 28712 and the phone number is (828) 884-6137
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 34D2019423 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 December 03, 2009. 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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