ENCANTO PALMS ASSISTED LIVING
NPI 1962749770
Alzheimer Center (Dementia Center) in Phoenix, AZ
NPI Status: Active since January 14, 2013
Contact Information
3901 W ENCANTO BLVD
PHOENIX, AZ
ZIP 85009
Phone: (602) 352-0000
Fax: (602) 272-6533
- Organization
- Alzheimer Center (Dementia Center)
- CLIA Number: 03D2045756
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-18-2027
About ENCANTO PALMS ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Encanto Palms Assisted Living, a provider established in Phoenix, Arizona operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1962749770 assigned on January 2013. The practitioner's primary taxonomy code is 311500000X with license number ALC4966C (AZ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Encanto Palms Assisted Living. The authorized official of this NPI record is Lisa Krohn (Executive Director)
- NPI
- 1962749770
- Provider Legal Name
- WINDSOR ENCANTO PALMS, LLC
- Other Organization Name
- ENCANTO PALMS ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3901 W ENCANTO BLVD PHOENIX, AZ 85009
- Location Phone
- (602) 352-0000
- Location Fax
- (602) 272-6533
- Mailing Address
- 3901 W ENCANTO BLVD PHOENIX, AZ 85009
- Mailing Phone
- (602) 352-0000
- Mailing Fax
- (602) 272-6533
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2013
- Last Update Date
- 02-12-2013
- 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
Alzheimer Center (Dementia Center)
- Taxonomy Code
- 311500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- ALC4966C
- License State
- AZ
- Taxonomy Description
- A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
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 |
|---|---|---|---|
| 768788 | MEDICAID (05) | AZ |
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
- 03D2045756
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 19, 2025
- Certificate Expiration Date
- January 18, 2027
- Laboratory Director
- ALLSHEA E. CHEVES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Encanto Palms Assisted Living 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 | 9 | 6 | 2 | 7 | 4 | 9 | 7 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 14 | 4 | 18 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 4 + 4 + 1 + 8 + 7 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962749770 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 |
|---|---|---|---|
| 1700083508 | SLO ENCANTO PALMS LLC Organization | Assisted Living Facility | 3901 W ENCANTO BLVD PHOENIX, AZ 85009 (602) 352-0000 |
| 1720799802 | ENCANTO PALMS HEALTHCARE, LLC Organization | Assisted Living Facility | 3901 W ENCANTO BLVD PHOENIX, AZ 85009 (602) 352-0000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962749770, enumerated in the NPI registry as an "organization" on January 14, 2013
The provider is located at 3901 W Encanto Blvd Phoenix, Az 85009 and the phone number is (602) 352-0000
This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X
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 03D2045756 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 January 14, 2013. 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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