SAINT ELIZABETH ASSISTED LIVING, L.P.
NPI 1629123021
Assisted Living Facility in Providence, RI

NPI Status: Active since January 24, 2007

Contact Information

109 MELROSE ST
PROVIDENCE, RI
ZIP 02907
Phone: (401) 490-4646
Fax: (401) 490-4537

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 41D2018578
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-09-2027

About SAINT ELIZABETH ASSISTED LIVING, L.P.

This page provides the complete NPI Profile along with additional information for Saint Elizabeth Assisted Living, L.p., a provider established in Providence, Rhode Island operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1629123021 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number ALR01425 (RI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Margaret Connelley (Administrator)

NPI
1629123021
Provider Name
SAINT ELIZABETH ASSISTED LIVING, L.P.
Entity Type
Organization
Location Address
109 MELROSE ST PROVIDENCE, RI 02907
Location Phone
(401) 490-4646
Location Fax
(401) 490-4537
Mailing Address
109 MELROSE ST PROVIDENCE, RI 02907
Mailing Phone
(401) 490-4646
Mailing Fax
(401) 490-4537
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2007
Last Update Date
01-29-2013
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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.
ALR01425
License State
RI
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

MARGARET CONNELLEY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 490-4646

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
41D2018578
Facility Type
Assisted Living Facility
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
MS. MARGARET CONNELLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Saint Elizabeth Assisted Living, L.p. 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.
1629123021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264922604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 6 + 0 + 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 = 11

The NPI number 1629123021 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 1629123021, enumerated in the NPI registry as an "organization" on January 24, 2007

The provider is located at 109 Melrose St Providence, Ri 02907 and the phone number is (401) 490-4646

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

The provider's CLIA number is 41D2018578 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 January 24, 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].
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