RAINTREE SENIOR LIVING
NPI 1750775235
Assisted Living Facility in Syracuse, UT

NPI Status: Active since March 24, 2015

Contact Information

2063 W. 1900 S.
SYRACUSE, UT
ZIP 84075
Phone: (801) 860-2626

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 46D2196206
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-14-2026

About RAINTREE SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Raintree Senior Living, a provider established in Syracuse, Utah operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1750775235 assigned on March 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Raintree Senior Living. The authorized official of this NPI record is Mrs. Andria Jones (Administrator)

NPI
1750775235
Provider Legal Name
SYRACUSE ASSISTED LIVING PHASE I
Other Organization Name
RAINTREE SENIOR LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2063 W. 1900 S. SYRACUSE, UT 84075
Location Phone
(801) 860-2626
Mailing Address
2063 W. 1900 S. SYRACUSE, UT 84075
Mailing Phone
(801) 860-2626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2015
Last Update Date
03-24-2015
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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 State
UT
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

MRS. ANDRIA JONES

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(801) 860-2626

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
46D2196206
Facility Type
Assisted Living Facility
Certificate Effective Date
October 15, 2024
Certificate Expiration Date
October 14, 2026
Laboratory Director
ELIZABETH J. ROSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Raintree Senior Living 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.
1750775235
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001471026
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 7 + 1 + 0 + 2 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750775235 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 1750775235, enumerated in the NPI registry as an "organization" on March 24, 2015

The provider is located at 2063 W. 1900 S. Syracuse, Ut 84075 and the phone number is (801) 860-2626

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

The provider's CLIA number is 46D2196206 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 March 24, 2015. 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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