ST NINO ADULT FAMILY HOME
NPI 1710153937
Custodial Care Facility - Adult Care Home in Spanaway, WA
NPI Status: Active since May 07, 2008
Contact Information
19620 8TH AVE E
SPANAWAY, WA
ZIP 98387
Phone: (253) 875-9077
Fax: (253) 875-9077
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 50D2263778
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About ST NINO ADULT FAMILY HOME
This page provides the complete NPI Profile along with additional information for St Nino Adult Family Home, a provider established in Spanaway, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1710153937 assigned on May 2008. The practitioner's primary taxonomy code is 311ZA0620X with license number 635100 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Reza S Vargas Nar (Provider/owner)
- NPI
- 1710153937
- Provider Name
- ST NINO ADULT FAMILY HOME
- Entity Type
- Organization
- Location Address
- 19620 8TH AVE E SPANAWAY, WA 98387
- Location Phone
- (253) 875-9077
- Location Fax
- (253) 875-9077
- Mailing Address
- 19620 8TH AVE E 19724 8TH AVE E SPANAWAY WA 98387 SPANAWAY, WA 98387
- Mailing Phone
- (253) 875-9077
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2008
- Last Update Date
- 05-07-2008
- 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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 635100
- License State
- WA
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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
- 50D2263778
- Facility Type
- Other - AFH
- Certificate Effective Date
- July 05, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- REZA VARGAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Nino Adult Family Home 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. | |||||||||
1 | 7 | 1 | 0 | 1 | 5 | 3 | 9 | 3 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 2 | 5 | 6 | 9 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 2 + 0 + 2 + 5 + 6 + 9 + 6 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1710153937 is valid because the calculated check digit 7 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 1710153937, enumerated in the NPI registry as an "organization" on May 07, 2008
The provider is located at 19620 8th Ave E Spanaway, Wa 98387 and the phone number is (253) 875-9077
This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home
The provider's CLIA number is 50D2263778 for a "other - afh" 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 May 07, 2008. 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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