ASSISTED LIVING CONCEPTS INC NPI 1003003393
Assisted Living Facility in Goose Creek, SC
About ASSISTED LIVING CONCEPTS INC
Pinewood House is a provider established in Goose Creek, South Carolina operating as a Assisted Living Facility. The NPI number of this provider is 1003003393 and was assigned on October 2007. The practitioner's primary taxonomy code is 310400000X with license number CRC1340 (SC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Pinewood House. The authorized official of this NPI record is Walter A Levonowich (Vice President Controller)
| NPI | 1003003393 |
| Provider Name | ASSISTED LIVING CONCEPTS INC |
| Location Address | 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 |
| Location Phone | (843) 569-2520 |
| Mailing Address | W140 N8981 LILLY ROAD ATTN LEGAL DEPARTMENT MENOMONEE FALLS, WI 53051 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | PINEWOOD HOUSE |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-01-2007 |
| Last Update Date | 10-01-2007 |
The CLIA number of Pinewood House is 42D0986188 registered as a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Pinewood House 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.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 310400000X |
| Classification | Assisted Living Facility |
| Type | Nursing & Custodial Care Facilities |
| License No. | CRC1340 |
| License State | SC |
| 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. |
Business Address
101 CENTENNIAL BLVD
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 569-2520
Fax: (843) 269-5493
Mailing Address
W140 N8981 LILLY ROAD
ATTN LEGAL DEPARTMENT
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 257-8888
Fax: (262) 251-7633
Location Map
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 the NPI number 1003003393 is:
| CLIA Number | 42D0986188 |
| Facility Type | ASSISTED LIVING FACILITY |
| Certificate Type | Certificate of Waiver |
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 | 0 | 0 | 3 | 0 | 0 | 3 | 3 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 6 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 6 + 3 + 1 + 8 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1003003393 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659388387 | CHRISTY M LARSON OT Individual | Occupational Therapist | 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 (843) 569-2520 |
| 1851581615 | SHERYL L. DAVIS PTA Individual | Physical Therapy Assistant | 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 (843) 869-2520 |
| 1376732446 | LISA M DELK PT Individual | Physical Therapist | 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 (843) 764-0544 |
| 1740582840 | ROBIN G LA TONA OTR Individual | Occupational Therapist | 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 (843) 569-2520 |
Frequently Asked Questions
What is PINEWOOD HOUSE NPI number?
The NPI number assigned to this healthcare provider is 1003003393, registered as an "organization" on October 01, 2007
Where is PINEWOOD HOUSE located?
The provider is located at 101 Centennial Blvd Goose Creek, Sc 29445 and the phone number is (843) 569-2520
What kind of medical provider is PINEWOOD HOUSE?
This medical organization specializes in Assisted Living Facility
What is PINEWOOD HOUSE CLIA number?
The provider's CLIA number is 42D0986188 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..
How do I update my NPI information?
The NPI record of PINEWOOD HOUSE was last updated on October 01, 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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