BEDFORD GROUP HOME
NPI 1851508717
Intermediate Care Facility, Intellectual Disabilities in Woodinville, WA

NPI Status: Active since May 17, 2007

Contact Information

12461 NE 173RD PL
WOODINVILLE, WA
ZIP 98072
Phone: (425) 481-5853
Fax: (425) 481-5763

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About BEDFORD GROUP HOME

This page provides the complete NPI Profile along with additional information for Bedford Group Home, a provider established in Woodinville, Washington operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1851508717 assigned on May 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bedford Group Home. The authorized official of this NPI record is Autumn L. Calkins (Executive Director)

NPI
1851508717
Provider Legal Name
THE CAMELOT SOCIETY
Other Organization Name
BEDFORD GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12461 NE 173RD PL WOODINVILLE, WA 98072
Location Phone
(425) 481-5853
Location Fax
(425) 481-5763
Mailing Address
18606 BOTHELL WAY NE BOTHELL, WA 98011
Mailing Phone
(425) 481-5853
Mailing Fax
(425) 481-5763
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

AUTUMN L. CALKINS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(425) 481-5853

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4967105OTHER (01)WAICFMR GROUP HOME

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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.
1851508717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281011001672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 0 + 1 + 6 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1851508717 is valid because the calculated check digit 7 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 1851508717, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 12461 Ne 173rd Pl Woodinville, Wa 98072 and the phone number is (425) 481-5853

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 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].
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.