CRESTWOOD VILLAGE ASSISTED LIVING
NPI 1114351152
Exclusive Provider Organization in Mt. Pleasant, MI
NPI Status: Active since August 27, 2013
Contact Information
2378 SOUTH LINCOLN RD
MT. PLEASANT, MI
ZIP 48858
Phone: (989) 772-2183
Fax: (989) 772-2296
- Organization
- Exclusive Provider Organization
- CLIA Number: 23D2078846
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-04-2026
About CRESTWOOD VILLAGE ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Crestwood Village Assisted Living, a provider established in Mt. Pleasant, Michigan operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1114351152 assigned on August 2013. The practitioner's primary taxonomy code is 302F00000X with license number AH370325563 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ms. Samantha Thelen (Director Of Operations)
- NPI
- 1114351152
- Provider Name
- CRESTWOOD VILLAGE ASSISTED LIVING
- Entity Type
- Organization
- Location Address
- 2378 SOUTH LINCOLN RD MT. PLEASANT, MI 48858
- Location Phone
- (989) 772-2183
- Location Fax
- (989) 772-2296
- Mailing Address
- 3196 KRAFT AVE SE SUITE 200 GRAND RAPIDS, MI 49512
- Mailing Phone
- (616) 464-1564
- Mailing Fax
- (989) 772-2296
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-27-2013
- Last Update Date
- 03-09-2015
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- AH370325563
- License State
- MI
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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
- 23D2078846
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 05, 2024
- Certificate Expiration Date
- June 04, 2026
- Laboratory Director
- JACQUELINE M. SHANTEAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crestwood Village Assisted Living 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 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 1114351152, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114351152, enumerated as an "organization" on August 27, 2013.
The provider is located at 2378 SOUTH LINCOLN RD MT. PLEASANT, MI 48858 and the phone number is (989) 772-2183.
Exclusive Provider Organization with taxonomy code 302F00000X.
