FORGETMENOT CARE HOME, INC.
NPI 1760781538
Alzheimer Center (Dementia Center) in Florence, CO
NPI Status: Active since March 19, 2011
Contact Information
9 S DORIS DR
FLORENCE, CO
ZIP 81226
Phone: (719) 372-0749
Fax: (719) 784-1395
- Organization
- Alzheimer Center (Dementia Center)
- CLIA Number: 06D2231070
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 07-28-2025
About FORGETMENOT CARE HOME, INC.
This page provides the complete NPI Profile along with additional information for Forgetmenot Care Home, Inc., a provider established in Florence, Colorado operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1760781538 assigned on March 2011. The practitioner's primary taxonomy code is 311500000X with license number 23U714 (CO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Susan Gebhart (President)
- NPI
- 1760781538
- Provider Name
- FORGETMENOT CARE HOME, INC.
- Entity Type
- Organization
- Location Address
- 9 S DORIS DR FLORENCE, CO 81226
- Location Phone
- (719) 372-0749
- Location Fax
- (719) 784-1395
- Mailing Address
- 9 S DORIS DR FLORENCE, CO 81226
- Mailing Phone
- (719) 372-0749
- Mailing Fax
- (719) 784-1395
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2011
- Last Update Date
- 03-19-2011
- 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
Alzheimer Center (Dementia Center)
- Taxonomy Code
- 311500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 23U714
- License State
- CO
- Taxonomy Description
- A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
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
- 06D2231070
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- July 29, 2023
- Certificate Expiration Date
- July 28, 2025
- Laboratory Director
- SYNDAWATI FNU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Forgetmenot Care Home, Inc. 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 | 6 | 0 | 7 | 8 | 1 | 5 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 14 | 8 | 2 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 4 + 8 + 2 + 5 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1760781538 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760263784 | CARE HAVEN ASSISTED LIVING, INC Organization | Assisted Living Facility | 9 S DORIS DR FLORENCE, CO 81226 (719) 372-0749 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760781538, enumerated in the NPI registry as an "organization" on March 19, 2011
The provider is located at 9 S Doris Dr Florence, Co 81226 and the phone number is (719) 372-0749
This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X
The provider's CLIA number is 06D2231070 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 19, 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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