RESIDENCE AT VILLAGE GREEN
NPI 1790189785
Assisted Living Facility in Colorado Springs, CO
NPI Status: Active since October 20, 2014
Contact Information
3455 N. CAREFREE CIRCLE
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 999-5744
Fax: (719) 999-5721
- Organization
- Assisted Living Facility
- CLIA Number: 06D2228349
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-24-2027
About RESIDENCE AT VILLAGE GREEN
This page provides the complete NPI Profile along with additional information for Residence At Village Green, a provider established in Colorado Springs, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1790189785 assigned on October 2014. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Residence At Village Green. The authorized official of this NPI record is Mr. Robert J Matrazzo J.d. (Chief Operating Officer)
- NPI
- 1790189785
- Provider Legal Name
- RESIDENCE AT VILLAGE GREEN, LLC
- Other Organization Name
- RESIDENCE AT VILLAGE GREEN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3455 N. CAREFREE CIRCLE COLORADO SPRINGS, CO 80917
- Location Phone
- (719) 999-5744
- Location Fax
- (719) 999-5721
- Mailing Address
- 3455 N. CAREFREE CIRCLE COLORADO SPRINGS, CO 80917
- Mailing Phone
- (719) 999-5744
- Mailing Fax
- (719) 999-5721
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2014
- Last Update Date
- 10-20-2014
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License State
- CO
- 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.
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
- 06D2228349
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 25, 2025
- Certificate Expiration Date
- June 24, 2027
- Laboratory Director
- KRYSTAL M. DELORIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Residence At Village Green 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 RESIDENCE AT VILLAGE GREEN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 9 | 0 | 1 | 8 | 9 | 7 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 8 | 18 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 8 + 1 + 8 + 7 + 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 = 5 | 5 | ||||||||
The NPI number 1790189785 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 1790189785, enumerated in the NPI registry as an "organization" on October 20, 2014
The provider is located at 3455 N. Carefree Circle Colorado Springs, Co 80917 and the phone number is (719) 999-5744
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 06D2228349 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 October 20, 2014. 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.