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 NameASSISTED LIVING CONCEPTS INC
Location Address101 CENTENNIAL BLVD GOOSE CREEK, SC 29445
Location Phone(843) 569-2520
Mailing AddressW140 N8981 LILLY ROAD ATTN LEGAL DEPARTMENT MENOMONEE FALLS, WI 53051
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePINEWOOD HOUSE
Other Name TypeDoing Business As (3)
Enumeration Date10-01-2007
Last Update Date10-01-2007



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 Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
License No.CRC1340
License StateSC
Taxonomy DescriptionA 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

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Mailing Address

W140 N8981 LILLY ROAD
ATTN LEGAL DEPARTMENT
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 257-8888
Fax: (262) 251-7633


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name WALTER A LEVONOWICH
Authorized Official TitleVICE 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 the NPI number 1003003393 is:

CLIA Number42D0986188
Facility TypeASSISTED LIVING FACILITY
Certificate TypeCertificate 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.
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

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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]