LAUREL PARK ASSISTED LIVING
NPI 1699891135
Assisted Living Facility in Port Angeles, WA

NPI Status: Active since March 22, 2007

Contact Information

1133 EAST PARK AVENUE
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-7201
Fax: (360) 452-4051

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  • Organization
  • Assisted Living Facility

About LAUREL PARK ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Laurel Park Assisted Living, a provider established in Port Angeles, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1699891135 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X with license number BH1840 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Laurel Park Assisted Living. The authorized official of this NPI record is Mr. Walter A Levonowich (Vice President And Controller)

NPI
1699891135
Provider Legal Name
ASSISTED LIVING CONCEPTS INC
Other Organization Name
LAUREL PARK ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1133 EAST PARK AVENUE PORT ANGELES, WA 98362
Location Phone
(360) 452-7201
Location Fax
(360) 452-4051
Mailing Address
111 W MICHIGAN STREET 9TH FLOOR MILWAUKEE, WI 53203
Mailing Phone
(414) 908-8800
Mailing Fax
(360) 452-4051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
08-22-2020
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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.
BH1840
License State
WA
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

MR. WALTER A LEVONOWICH

Authorized Official Title
VICE PRESIDENT AND CONTROLLER
Authorized Official Phone
(414) 908-8800

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
749622MEDICAID (05)WA 

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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.
1699891135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189169216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 9 + 2 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1699891135 is valid because the calculated check digit 5 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 1699891135, enumerated in the NPI registry as an "organization" on March 22, 2007

The provider is located at 1133 East Park Avenue Port Angeles, Wa 98362 and the phone number is (360) 452-7201

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.

This NPI record was last updated on March 22, 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].
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.