BROOKDALE FILLMORE POND
NPI 1861776080
Assisted Living Facility in Bennington, VT
NPI Status: Active since October 06, 2011
Contact Information
300 VILLAGE LN
BENNINGTON, VT
ZIP 05201
Phone: (802) 447-7000
- Organization
- Assisted Living Facility
- CLIA Number: 47D2198043
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-28-2026
About BROOKDALE FILLMORE POND
This page provides the complete NPI Profile along with additional information for Brookdale Fillmore Pond, a provider established in Bennington, Vermont operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1861776080 assigned on October 2011. The practitioner's primary taxonomy code is 310400000X with license number 310 (VT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brookdale Fillmore Pond. The authorized official of this NPI record is Joanne K Leskowicz (Senior Vice President)
- NPI
- 1861776080
- Provider Legal Name
- EMERITUS CORPORATION
- Other Organization Name
- BROOKDALE FILLMORE POND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 VILLAGE LN BENNINGTON, VT 05201
- Location Phone
- (802) 447-7000
- Mailing Address
- 6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-06-2011
- Last Update Date
- 07-21-2020
- 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 No.
- 310
- License State
- VT
- 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.
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.
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 |
|---|---|---|---|
| 047W322 | MEDICAID (05) | VT |
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
- 47D2198043
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 29, 2024
- Certificate Expiration Date
- October 28, 2026
- Laboratory Director
- LYNNE STRATTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brookdale Fillmore Pond 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 BROOKDALE FILLMORE POND
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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 | 8 | 6 | 1 | 7 | 7 | 6 | 0 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 14 | 7 | 12 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 4 + 7 + 1 + 2 + 0 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1861776080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992079461 | THE WESTON GROUP INC Organization | Physical Therapist | 300 VILLAGE LN BENNINGTON, VT 05201 (802) 447-7000 |
| 1134494008 | TAMMY LEE BIRD PT Individual | Physical Therapist | 300 VILLAGE LN BENNINGTON, VT 05201 (802) 447-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861776080, enumerated in the NPI registry as an "organization" on October 06, 2011
The provider is located at 300 Village Ln Bennington, Vt 05201 and the phone number is (802) 447-7000
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
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.
The provider's CLIA number is 47D2198043 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 06, 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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