ALADDIN AT BRUSH
NPI 1679509921
Assisted Living Facility in Alamosa, CO

NPI Status: Active since June 25, 2006

Contact Information

2415 MULLINS AVE
SUITE 4
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-2063

Get Directions Reviews

  • Organization
  • Assisted Living Facility
  • CLIA Number: 06D2231986
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-08-2025

About ALADDIN AT BRUSH

This page provides the complete NPI Profile along with additional information for Aladdin At Brush, a provider established in Alamosa, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1679509921 assigned on June 2006. The practitioner's primary taxonomy code is 310400000X with license number AL-0520 (CO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Aladdin At Brush. The authorized official of this NPI record is Jaunita Reynolds (Accounts Receivable Accountant)

NPI
1679509921
Provider Legal Name
ALADDIN ASSISTED LIVING, LLC
Other Organization Name
ALADDIN AT BRUSH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2415 MULLINS AVE SUITE 4 ALAMOSA, CO 81101
Location Phone
(719) 589-2063
Mailing Address
428 WESTERN AVE BRUSH, CO 80723
Mailing Phone
(970) 842-5463
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2006
Last Update Date
08-22-2020
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 No.
AL-0520
License State
CO
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.

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

JAUNITA REYNOLDS

Authorized Official Title
ACCOUNTS RECEIVABLE ACCOUNTANT
Authorized Official Phone
(719) 589-2063

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
60729236MEDICAID (05)CO 

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
06D2231986
Facility Type
Assisted Living Facility
Certificate Effective Date
August 09, 2023
Certificate Expiration Date
August 08, 2025
Laboratory Director
COURTNEY M. CONNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Aladdin At Brush 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.

Reviews for ALADDIN AT BRUSH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1679509921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491001894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 0 + 1 + 8 + 9 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1679509921 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043407596ALLIANCE LTC INVESTORS,LLC
Organization
Assisted Living Facility2415 MULLINS AVE SUITE 8
ALAMOSA, CO 81101
(719) 589-2063
1598935694CHRISTOPHER T OFFUTT
Organization
Podiatrist (Foot & Ankle Surgery)2415 MULLINS AVE
ALAMOSA, CO 81101
(719) 587-0330
1902976566DR. CHRISTOPHER OFFUTT DPM
Individual
Podiatrist (Foot & Ankle Surgery)2415 MULLINS AVE
ALAMOSA, CO 81101
(719) 587-0330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679509921, enumerated in the NPI registry as an "organization" on June 25, 2006

The provider is located at 2415 Mullins Ave Suite 4 Alamosa, Co 81101 and the phone number is (719) 589-2063

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

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 06D2231986 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 25, 2006. 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.