AUTUMN LEAVES OF RIVERSTONE
NPI 1992078133
Assisted Living Facility in Missouri City, TX
NPI Status: Active since February 20, 2012
Contact Information
20313 S UNIVERSITY BLVD
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 778-2881
Fax: (281) 778-2888
- Organization
- Assisted Living Facility
- CLIA Number: 45D2299166
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-13-2026
About AUTUMN LEAVES OF RIVERSTONE
This page provides the complete NPI Profile along with additional information for Autumn Leaves Of Riverstone, a provider established in Missouri City, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1992078133 assigned on February 2012. The practitioner's primary taxonomy code is 310400000X with license number 104587 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Autumn Leaves Of Riverstone. The authorized official of this NPI record is Mr. Chad Anderson (President)
- NPI
- 1992078133
- Provider Legal Name
- RIVERSTONE MEMORY CARE, LLC
- Other Organization Name
- AUTUMN LEAVES OF RIVERSTONE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 20313 S UNIVERSITY BLVD MISSOURI CITY, TX 77459
- Location Phone
- (281) 778-2881
- Location Fax
- (281) 778-2888
- Mailing Address
- 545 E JOHN CARPENTER FWY SUITE 500 IRVING, TX 75062
- Mailing Phone
- (214) 845-4500
- Mailing Fax
- (281) 778-2888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2012
- Last Update Date
- 02-20-2012
- 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.
- 104587
- License State
- TX
- 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.
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
- 45D2299166
- Facility Type
- Physician Office
- Certificate Effective Date
- February 14, 2024
- Certificate Expiration Date
- February 13, 2026
- Laboratory Director
- DR. SHUBHA P. SHETTY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Autumn Leaves Of Riverstone 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 | 9 | 2 | 0 | 7 | 8 | 1 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 0 | 7 | 16 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 0 + 7 + 1 + 6 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1992078133 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1700549367 | LSLH RIVERSTONE LLC Organization | Assisted Living Facility | 20313 S UNIVERSITY BLVD MISSOURI CITY, TX 77459 (281) 778-2881 |
| 1578381059 | 20313 S UNIVERSITY BLVD Organization | Custodial Care Facility (Adult Care Home) | 20313 S UNIVERSITY BLVD MISSOURI CITY, TX 77459 (936) 647-5149 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992078133, enumerated in the NPI registry as an "organization" on February 20, 2012
The provider is located at 20313 S University Blvd Missouri City, Tx 77459 and the phone number is (281) 778-2881
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 45D2299166 for a "physician office" 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 20, 2012. 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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