TAMALPAIS CREEK
NPI 1679877500
Assisted Living Facility in Novato, CA

NPI Status: Active since January 07, 2011

Contact Information

853 TAMALPAIS AVE
NOVATO, CA
ZIP 94947
Phone: (415) 892-0944

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 05D0857952
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-01-2027

About TAMALPAIS CREEK

This page provides the complete NPI Profile along with additional information for Tamalpais Creek, a provider established in Novato, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1679877500 assigned on January 2011. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Tamalpais Creek. The authorized official of this NPI record is John Moore (Ceo)

NPI
1679877500
Provider Legal Name
ARV ASSISTED LIVING, INC.
Other Organization Name
TAMALPAIS CREEK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
853 TAMALPAIS AVE NOVATO, CA 94947
Location Phone
(415) 892-0944
Mailing Address
853 TAMALPAIS AVE NOVATO, CA 94947
Mailing Phone
(415) 892-0944
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2011
Last Update Date
01-07-2011
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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

JOHN MOORE

Authorized Official Title
CEO
Authorized Official Phone
(502) 779-7608

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
05D0857952
Facility Type
Physician Office
Certificate Effective Date
January 02, 2025
Certificate Expiration Date
January 01, 2027
Laboratory Director
ERIN N. HEATH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tamalpais Creek 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 TAMALPAIS CREEK

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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.
1679877500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491671450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 7 + 1 + 4 + 5 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1679877500 is valid because the calculated check digit 0 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 1679877500, enumerated in the NPI registry as an "organization" on January 07, 2011

The provider is located at 853 Tamalpais Ave Novato, Ca 94947 and the phone number is (415) 892-0944

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

The provider's CLIA number is 05D0857952 for a "physician office" 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 07, 2011. 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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