HEATHER GROVE ASSISTED LIVING, INC
NPI 1669158259
Assisted Living Facility in Denver, CO

NPI Status: Active since June 27, 2023

Contact Information

3289 GROVE ST
DENVER, CO
ZIP 80211
Phone: (303) 477-4262
Fax: (303) 477-0720

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 06D2239901
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-13-2025

About HEATHER GROVE ASSISTED LIVING, INC

This page provides the complete NPI Profile along with additional information for Heather Grove Assisted Living, Inc, a provider established in Denver, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1669158259 assigned on June 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Jeffrey S Supit (Manager)

NPI
1669158259
Provider Name
HEATHER GROVE ASSISTED LIVING, INC
Entity Type
Organization
Location Address
3289 GROVE ST DENVER, CO 80211
Location Phone
(303) 477-4262
Location Fax
(303) 477-0720
Mailing Address
3289 GROVE ST DENVER, CO 80211
Mailing Phone
(303) 477-4262
Mailing Fax
(303) 477-0720
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2023
Last Update Date
06-27-2023
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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
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

MR. JEFFREY S SUPIT

Authorized Official Title
MANAGER
Authorized Official Phone
(303) 993-6265

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
06D2239901
Facility Type
Assisted Living Facility
Certificate Effective Date
October 14, 2023
Certificate Expiration Date
October 13, 2025
Laboratory Director
AMANDA PHAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heather Grove Assisted Living, 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.
1669158259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261292516210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 2 + 5 + 1 + 6 + 2 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1669158259 is valid because the calculated check digit 9 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
1891330445MITCH B. CORPORATION
Organization
Assisted Living Facility3289 GROVE ST
DENVER, CO 80211
(303) 477-4262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669158259, enumerated in the NPI registry as an "organization" on June 27, 2023

The provider is located at 3289 Grove St Denver, Co 80211 and the phone number is (303) 477-4262

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

The provider's CLIA number is 06D2239901 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 27, 2023. 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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