TRADITIONS AT BEAVERCREEK
NPI 1891403929
Assisted Living Facility in Beavercreek, OH

NPI Status: Active since November 08, 2022

Contact Information

800 GRAYSON LN
BEAVERCREEK, OH
ZIP 45430
Phone: (317) 385-5818

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D0349659
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-04-2026

About TRADITIONS AT BEAVERCREEK

This page provides the complete NPI Profile along with additional information for Traditions At Beavercreek, a provider established in Beavercreek, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1891403929 assigned on November 2022. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Traditions At Beavercreek. The authorized official of this NPI record is Kris Peters (Director Of Business Office & Waiv)

NPI
1891403929
Provider Legal Name
BEAVERCREEK SENIOR LIVING II LLC
Other Organization Name
TRADITIONS AT BEAVERCREEK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
800 GRAYSON LN BEAVERCREEK, OH 45430
Location Phone
(317) 385-5818
Mailing Address
802 E 86TH ST INDIANAPOLIS, IN 46240
Mailing Phone
(317) 385-5818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2022
Last Update Date
05-07-2024
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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

KRIS PETERS

Authorized Official Title
DIRECTOR OF BUSINESS OFFICE & WAIV
Authorized Official Phone
(260) 452-4896

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
36D0349659
Facility Type
Physician Office
Certificate Effective Date
December 05, 2024
Certificate Expiration Date
December 04, 2026
Laboratory Director
BARBARA BENNETT
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Traditions At Beavercreek in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1891403929
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818180694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 8 + 0 + 6 + 9 + 4 + 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 = 99

The NPI number 1891403929 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174358378 MICHAELA LAMAR SLP
Individual
Speech-Language Pathologist800 GRAYSON LN
BEAVERCREEK, OH 45430
(866) 360-9355
1861650970 STEPHANIE M SULLIVAN DPT
Individual
Physical Therapist800 GRAYSON LN
BEAVERCREEK, OH 45430
(866) 360-9355
1376438150 MEREDITH CHOOSE ONE PEARSON M.A. CCC-SLP
Individual
Speech-Language Pathologist800 GRAYSON LN
BEAVERCREEK, OH 45430
(812) 267-2841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891403929, enumerated in the NPI registry as an "organization" on November 08, 2022

The provider is located at 800 Grayson Ln Beavercreek, Oh 45430 and the phone number is (317) 385-5818

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

The provider's CLIA number is 36D0349659 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on November 08, 2022. 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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