ST. BERNADETTE ASSISTED LIVING
NPI 1124325014
Assisted Living Facility in Centennial, CO

NPI Status: Active since February 11, 2011

Contact Information

4468 E LAKE CIR S
CENTENNIAL, CO
ZIP 80121
Phone: (303) 694-5743
Fax: (303) 694-5743

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  • Organization
  • Assisted Living Facility

About ST. BERNADETTE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for St. Bernadette Assisted Living, a provider established in Centennial, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1124325014 assigned on February 2011. The practitioner's primary taxonomy code is 310400000X with license number 23Q703 (CO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as St. Bernadette Assisted Living. The authorized official of this NPI record is Mr. Lyle Campbell (Administrator)

NPI
1124325014
Provider Legal Name
CAMPBELL-MULJANAH ENTERPRISES
Other Organization Name
ST. BERNADETTE ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4468 E LAKE CIR S CENTENNIAL, CO 80121
Location Phone
(303) 694-5743
Location Fax
(303) 694-5743
Mailing Address
4953 S FIELD CT LITTLETON, CO 80123
Mailing Phone
(303) 941-9460
Mailing Fax
(303) 694-5743
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2011
Last Update Date
02-11-2011
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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.
23Q703
License State
CO
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. LYLE CAMPBELL

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(303) 941-9460

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
COTP139457AMEDICAID (05)CO 

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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 1124325014, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 2 → 4 3 → 6 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 6 + 2 + 1 + 0 + 0 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124325014.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124325014, enumerated as an "organization" on February 11, 2011.

The provider is located at 4468 E LAKE CIR S CENTENNIAL, CO 80121 and the phone number is (303) 694-5743.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.