SANBORN GRATIOT MEMORIAL HOME
NPI 1790952232
Assisted Living Facility in Port Huron, MI

NPI Status: Active since May 14, 2008

Contact Information

2732 CHERRY ST
PORT HURON, MI
ZIP 48060
Phone: (810) 985-5631
Fax: (810) 985-1560

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 23D2211155
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-25-2027

About SANBORN GRATIOT MEMORIAL HOME

This page provides the complete NPI Profile along with additional information for Sanborn Gratiot Memorial Home, a provider established in Port Huron, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1790952232 assigned on May 2008. The practitioner's primary taxonomy code is 310400000X with license number AH740236889 (MI). 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 Ms. Kathleen Swantek (Executive Director)

NPI
1790952232
Provider Name
SANBORN GRATIOT MEMORIAL HOME
Entity Type
Organization
Location Address
2732 CHERRY ST PORT HURON, MI 48060
Location Phone
(810) 985-5631
Location Fax
(810) 985-1560
Mailing Address
2732 CHERRY ST PORT HURON, MI 48060
Mailing Phone
(810) 985-5631
Mailing Fax
(810) 985-1560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2008
Last Update Date
05-14-2008
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AH740236889
License State
MI
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

MS. KATHLEEN SWANTEK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(810) 388-1200

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
23D2211155
Facility Type
Assisted Living Facility
Certificate Effective Date
January 26, 2025
Certificate Expiration Date
January 25, 2027
Laboratory Director
LISA BEEDON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sanborn Gratiot Memorial 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.
1790952232
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180185426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 5 + 4 + 2 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1790952232 is valid because the calculated check digit 2 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
1962839860SANBORN GRATIOT MEMORIAL HOME
Organization
Respite Care2732 CHERRY ST
PORT HURON, MI 48060
(810) 985-5631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790952232, enumerated in the NPI registry as an "organization" on May 14, 2008

The provider is located at 2732 Cherry St Port Huron, Mi 48060 and the phone number is (810) 985-5631

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

The provider's CLIA number is 23D2211155 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 May 14, 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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