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

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  • 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
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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

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.

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

REZA S VARGAS NAR

Authorized Official Title
PROVIDER/OWNER
Authorized Official Phone
(253) 875-9077

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.

Reviews for ST NINO ADULT FAMILY HOME

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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.
1710153937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272025696
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 = 77

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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