EMERITUS AT LAKE RIDGE
NPI 1104034412
Assisted Living Facility in Woodbridge, VA

NPI Status: Active since May 18, 2007

Contact Information

3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 680-0600
Fax: (703) 680-0790

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  • Organization
  • Assisted Living Facility

About EMERITUS AT LAKE RIDGE

This page provides the complete NPI Profile along with additional information for Emeritus At Lake Ridge, a provider established in Woodbridge, Virginia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104034412 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number WLO-03-780 (VA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Emeritus At Lake Ridge. The authorized official of this NPI record is Noelle Diaz (Licensing Specialist)

NPI
1104034412
Provider Legal Name
SUMMERVILLE AT PRINCE WILLIAM, INC
Other Organization Name
EMERITUS AT LAKE RIDGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3940 PRINCE WILLIAM PKWY WOODBRIDGE, VA 22192
Location Phone
(703) 680-0600
Location Fax
(703) 680-0790
Mailing Address
3131 ELLIOTT AVE SUITE 500 SEATTLE, WA 98121
Mailing Phone
(206) 298-2909
Mailing Fax
(703) 680-0790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2007
Last Update Date
09-09-2009
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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.
WLO-03-780
License State
VA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

WLO-03-780 (VA)

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

NOELLE DIAZ

Authorized Official Title
LICENSING SPECIALIST
Authorized Official Phone
(206) 298-2909

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104034412, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 3 + 8 + 4 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104034412.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Physical Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Physical Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Occupational Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Physical Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Physical Therapy Assistant
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Speech-Language Pathologist
3940 PRINCE WILLIAM PKWY, REHAB DEPARTMENT
WOODBRIDGE, VA 22192
Speech-Language Pathologist
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Occupational Therapist
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Speech-Language Pathologist
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Speech-Language Pathologist
3940 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104034412, enumerated as an "organization" on May 18, 2007.

The provider is located at 3940 PRINCE WILLIAM PKWY WOODBRIDGE, VA 22192 and the phone number is (703) 680-0600.

Assisted Living Facility with taxonomy code 310400000X.