SUNRISE ADULT CARE HOME
NPI 1164606620
Custodial Care Facility - Adult Care Home in Glendale, AZ
NPI Status: Active since December 19, 2007
Contact Information
4415 W CAROL AVE
GLENDALE, AZ
ZIP 85302
Phone: (623) 847-1216
Fax: (623) 847-1216
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 03D2038141
- CLIA Cert. Type: Other - HEALTH CLINIC
- CLIA Exp. Date: 07-20-2025
About SUNRISE ADULT CARE HOME
This page provides the complete NPI Profile along with additional information for Sunrise Adult Care Home, a provider established in Glendale, Arizona operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1164606620 assigned on December 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number ALH-6842 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Sunrise Adult Care Home. The authorized official of this NPI record is Cornelia Lupas (Administrator)
- NPI
- 1164606620
- Provider Legal Name
- VINEYARD ADULT CARE HOME
- Other Organization Name
- SUNRISE ADULT CARE HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4415 W CAROL AVE GLENDALE, AZ 85302
- Location Phone
- (623) 847-1216
- Location Fax
- (623) 847-1216
- Mailing Address
- 4415 W CAROL AVE GLENDALE, AZ 85302
- Mailing Phone
- (623) 847-1216
- Mailing Fax
- (623) 847-1216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2007
- Last Update Date
- 01-29-2009
- 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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- ALH-6842
- License State
- AZ
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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
- 03D2038141
- Facility Type
- Other - HEALTH CLINIC
- Certificate Effective Date
- July 21, 2023
- Certificate Expiration Date
- July 20, 2025
- Laboratory Director
- NANCY J. ASHBY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sunrise Adult Care Home 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 6 | 0 | 6 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 12 | 0 | 12 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 2 + 0 + 1 + 2 + 6 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164606620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164606620, enumerated as an "organization" on December 19, 2007.
The provider is located at 4415 W CAROL AVE GLENDALE, AZ 85302 and the phone number is (623) 847-1216.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
