SUMMERPLACE ASSISTED LIVING COMMUNITY
NPI 1164559282
Assisted Living Facility in Portland, OR

NPI Status: Active since February 27, 2007

Contact Information

15727 NE RUSSELL ST
PORTLAND, OR
ZIP 97230
Phone: (503) 252-9361
Fax: (503) 252-9405

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  • Organization
  • Assisted Living Facility

About SUMMERPLACE ASSISTED LIVING COMMUNITY

This page provides the complete NPI Profile along with additional information for Summerplace Assisted Living Community, a provider established in Portland, Oregon operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1164559282 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Summerplace Assisted Living Community. The authorized official of this NPI record is Gregory J Vislocky (Managing Member)

NPI
1164559282
Provider Legal Name
SUMMERPLACE ASSISTED LIVING LLC
Other Organization Name
SUMMERPLACE ASSISTED LIVING COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15727 NE RUSSELL ST PORTLAND, OR 97230
Location Phone
(503) 252-9361
Location Fax
(503) 252-9405
Mailing Address
7700 NE PARKWAY DR SUITE 300 VANCOUVER, WA 98662
Mailing Phone
(360) 735-7155
Mailing Fax
(503) 252-9405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
08-22-2020
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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 State
OR
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

GREGORY J VISLOCKY

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(360) 735-7155

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
502073MEDICAID (05)OR 

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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 1164559282, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 0 + 5 + 1 + 8 + 2 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1164559282.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
15727 NE RUSSELL ST
PORTLAND, OR 97230
Assisted Living Facility
15727 NE RUSSELL ST
PORTLAND, OR 97230
Assisted Living Facility
15727 NE RUSSELL ST
PORTLAND, OR 97230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164559282, enumerated as an "organization" on February 27, 2007.

The provider is located at 15727 NE RUSSELL ST PORTLAND, OR 97230 and the phone number is (503) 252-9361.

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.