FALLS RIVER COURT
NPI 1841412988
Assisted Living Facility in Raleigh, NC

NPI Status: Active since May 02, 2007

Contact Information

1130 ALLS RIVER AVENUE
RALEIGH, NC
ZIP 27614
Phone: (919) 844-2499

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 34D2182377
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-20-2026

About FALLS RIVER COURT

This page provides the complete NPI Profile along with additional information for Falls River Court, a provider established in Raleigh, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1841412988 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Falls River Court. The authorized official of this NPI record is Jon Harder (Manager)

NPI
1841412988
Provider Legal Name
FALLS RIVER COURT MEMORY CARE, LLC
Other Organization Name
FALLS RIVER COURT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1130 ALLS RIVER AVENUE RALEIGH, NC 27614
Location Phone
(919) 844-2499
Mailing Address
3723 FAIRVIEW INDUSTRIAL DR SE SUITE 270 SALEM, OR 97302
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2007
Last Update Date
08-22-2020
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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
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

JON HARDER

Authorized Official Title
MANAGER
Authorized Official Phone
(503) 485-4600

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
34D2182377
Facility Type
Assisted Living Facility
Certificate Effective Date
April 21, 2024
Certificate Expiration Date
April 20, 2026
Laboratory Director
MARIANNE STAMEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Falls River Court 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.
1841412988
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881814916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 8 + 1 + 4 + 9 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1841412988 is valid because the calculated check digit 8 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 1841412988, enumerated in the NPI registry as an "organization" on May 02, 2007

The provider is located at 1130 Alls River Avenue Raleigh, Nc 27614 and the phone number is (919) 844-2499

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

The provider's CLIA number is 34D2182377 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 02, 2007. 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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