PINEWOOD HOUSE
NPI 1003003393
Assisted Living Facility in Goose Creek, SC

NPI Status: Active since October 01, 2007

Contact Information

101 CENTENNIAL BLVD
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 569-2520
Fax: (843) 269-5493

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  • Organization
  • Assisted Living Facility
  • CLIA Number 42D0986188
  • CLIA Certificate of Waiver

About PINEWOOD HOUSE

Pinewood House is a provider established in Goose Creek, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1003003393 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 17 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 Legal Name
ASSISTED LIVING CONCEPTS INC
Other Organization Name
PINEWOOD HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 CENTENNIAL BLVD GOOSE CREEK, SC 29445
Location Phone
(843) 569-2520
Location Fax
(843) 269-5493
Mailing Address
W140 N8981 LILLY ROAD ATTN LEGAL DEPARTMENT MENOMONEE FALLS, WI 53051
Mailing Phone
(262) 257-8888
Mailing Fax
(843) 269-5493
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-01-2007
Last Update Date
10-01-2007
Code Navigator



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.

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.
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.

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

WALTER A LEVONOWICH

Authorized Official Title
VICE PRESIDENT CONTROLLER
Authorized Official Phone
(262) 257-8888

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 Number42D0986188
Facility TypeASSISTED LIVING FACILITY
Certificate TypeCertificate of Waiver

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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.
1003003393
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003006318
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 = 33

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 Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 569-2520
1851581615 SHERYL L. DAVIS PTA
Individual
Physical Therapy Assistant101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 869-2520
1376732446 LISA M DELK PT
Individual
Physical Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 764-0544
1740582840 ROBIN G LA TONA OTR
Individual
Occupational Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 569-2520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003003393, enumerated in the NPI registry as an "organization" on October 01, 2007

The provider is located at 101 Centennial Blvd Goose Creek, Sc 29445 and the phone number is (843) 569-2520

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

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..

This NPI record 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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