ON WITH LIFE LONG TERM CARE
NPI 1124875091
Skilled Nursing Facility - Nursing Care, Pediatric in Polk City, IA

NPI Status: Active since April 30, 2024

Contact Information

1002 W WASHINGTON AVE
POLK CITY, IA
ZIP 50226
Phone: (515) 289-9600

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  • Organization
  • Skilled Nursing Facility
  • Nursing Care, Pediatric
  • CLIA Number: 16D0913844
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-14-2028

About ON WITH LIFE LONG TERM CARE

This page provides the complete NPI Profile along with additional information for On With Life Long Term Care, a provider established in Polk City, Iowa operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1124875091 assigned on April 2024. The practitioner's primary taxonomy code is 3140N1450X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as On With Life Long Term Care. The authorized official of this NPI record is Erin Luft-wiskus (Credentialing Coordinator)

NPI
1124875091
Provider Legal Name
ON WITH LIFE EXTENDED SERVICES, LTD.
Other Organization Name
ON WITH LIFE LONG TERM CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1002 W WASHINGTON AVE POLK CITY, IA 50226
Location Phone
(515) 289-9600
Mailing Address
715 SW ANKENY RD ANKENY, IA 50023
Mailing Phone
(515) 289-9600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2024
Last Update Date
07-17-2024
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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

Skilled Nursing Facility Nursing Care, Pediatric

Taxonomy Code
3140N1450X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

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

ERIN LUFT-WISKUS

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(515) 289-9703

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
16D0913844
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 15, 2026
Certificate Expiration Date
April 14, 2028
Laboratory Director
JENNIFER LEWIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to On With Life Long Term Care 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 1124875091, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 8 → 16 → 7 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 6 + 7 + 1 + 0 + 0 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124875091.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Licensed Practical Nurse
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility (Nursing Care, Pediatric)
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility
1002 W WASHINGTON AVE
POLK CITY, IA 50226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124875091, enumerated as an "organization" on April 30, 2024.

The provider is located at 1002 W WASHINGTON AVE POLK CITY, IA 50226 and the phone number is (515) 289-9600.

Skilled Nursing Facility with taxonomy code 3140N1450X and a focus in Nursing Care, Pediatric.