BROOKDALE HEARTHSTONE MOSES LAKE
NPI 1891839049
Assisted Living Facility in Moses Lake, WA

NPI Status: Active since February 19, 2007

Contact Information

905 S PIONEER WAY
MOSES LAKE, WA
ZIP 98837
Phone: (509) 765-2121
Fax: (509) 766-0366

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2131826
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About BROOKDALE HEARTHSTONE MOSES LAKE

This page provides the complete NPI Profile along with additional information for Brookdale Hearthstone Moses Lake, a provider established in Moses Lake, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1891839049 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X with license number 2282 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Brookdale Hearthstone Moses Lake. The authorized official of this NPI record is Bryan Richardson (Evp, Chief Admin. Officer)

NPI
1891839049
Provider Legal Name
EMERITUS CORPORATION
Other Organization Name
BROOKDALE HEARTHSTONE MOSES LAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
905 S PIONEER WAY MOSES LAKE, WA 98837
Location Phone
(509) 765-2121
Location Fax
(509) 766-0366
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2007
Last Update Date
05-18-2016
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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
License No.
2282
License State
WA
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.

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

BRYAN RICHARDSON

Authorized Official Title
EVP, CHIEF ADMIN. OFFICER
Authorized Official Phone
(615) 564-8131

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
290548MEDICAID (05)WA 

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
50D2131826
Facility Type
Assisted Living Facility
Certificate Effective Date
December 09, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
KARLA VILLLEGAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Hearthstone Moses Lake 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.
1891839049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281811631808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 6 + 3 + 1 + 8 + 0 + 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 = 99

The NPI number 1891839049 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518523588EMERITOL HEARTHSTONE INN LLC
Organization
Assisted Living Facility905 S PIONEER WAY
MOSES LAKE, WA 98837
(509) 765-2121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891839049, enumerated in the NPI registry as an "organization" on February 19, 2007

The provider is located at 905 S Pioneer Way Moses Lake, Wa 98837 and the phone number is (509) 765-2121

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 50D2131826 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 February 19, 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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