HARBORCHASE OF SHOREWOOD
NPI 1164965257
Assisted Living Facility in Shorewood, WI
NPI Status: Active since November 22, 2016
Contact Information
1111 E CAPITOL DR
SHOREWOOD, WI
ZIP 53211
Phone: (414) 436-0311
Fax: (414) 436-0312
- Organization
- Assisted Living Facility
- CLIA Number: 52D2103655
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-15-2025
About HARBORCHASE OF SHOREWOOD
This page provides the complete NPI Profile along with additional information for Harborchase Of Shorewood, a provider established in Shorewood, Wisconsin operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1164965257 assigned on November 2016. The practitioner's primary taxonomy code is 310400000X with license number 0015905 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Harborchase Of Shorewood. The authorized official of this NPI record is Thomas Mitchell (Cfo Of Manager)
- NPI
- 1164965257
- Provider Legal Name
- CHP SHOREWOOD WI TENANT CORP
- Other Organization Name
- HARBORCHASE OF SHOREWOOD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1111 E CAPITOL DR SHOREWOOD, WI 53211
- Location Phone
- (414) 436-0311
- Location Fax
- (414) 436-0312
- Mailing Address
- 1440 HIGHWAY A1A VERO BEACH, FL 32963
- Mailing Phone
- (772) 492-5002
- Mailing Fax
- (414) 436-0312
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-22-2016
- Last Update Date
- 11-22-2016
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0015905
- License State
- WI
- 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.
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
- 52D2103655
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 16, 2023
- Certificate Expiration Date
- October 15, 2025
- Laboratory Director
- MS. MICHELE CARLSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harborchase Of Shorewood 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 1164965257, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164965257, enumerated as an "organization" on November 22, 2016.
The provider is located at 1111 E CAPITOL DR SHOREWOOD, WI 53211 and the phone number is (414) 436-0311.
Assisted Living Facility with taxonomy code 310400000X.
