NORTHLAND LIVING CENTER
NPI 1871653949
Intermediate Care Facility, Intellectual Disabilities in Jackman, ME
NPI Status: Active since December 11, 2006
Contact Information
382 MAIN ST
JACKMAN, ME
ZIP 04945
Phone: (207) 668-3221
Fax: (207) 668-4159
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 20D0649607
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 08-31-2026
About NORTHLAND LIVING CENTER
This page provides the complete NPI Profile along with additional information for Northland Living Center, a provider established in Jackman, Maine operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1871653949 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 36354 (ME). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Northland Living Center. The authorized official of this NPI record is Mr. Glen G Cyr (Vp Of Finance)
- NPI
- 1871653949
- Provider Legal Name
- NORTH COUNTRY ASSOCIATES, INC
- Other Organization Name
- NORTHLAND LIVING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 382 MAIN ST JACKMAN, ME 04945
- Location Phone
- (207) 668-3221
- Location Fax
- (207) 668-4159
- Mailing Address
- 179 LISBON ST 2ND FLOOR LEWISTON, ME 04240
- Mailing Phone
- (207) 786-3554
- Mailing Fax
- (207) 668-4159
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2006
- Last Update Date
- 08-22-2020
- 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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 36354
- License State
- ME
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
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
- 20D0649607
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- REBECCA BEGIN RN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northland Living Center 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. | |||||||||
| 1 | 8 | 7 | 1 | 6 | 5 | 3 | 9 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 12 | 5 | 6 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 2 + 5 + 6 + 9 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1871653949 is valid because the calculated check digit 9 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 1871653949, enumerated in the NPI registry as an "organization" on December 11, 2006
The provider is located at 382 Main St Jackman, Me 04945 and the phone number is (207) 668-3221
This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X
The provider's CLIA number is 20D0649607 for a "intermediate care facility for mentally retarded" 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 December 11, 2006. 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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