LIFE STAR HEALTHCARE SERVICES LLC
NPI 1184455966
Custodial Care Facility in Lakewood, WA

NPI Status: Active since August 12, 2024

Contact Information

9104 104TH ST SW
LAKEWOOD, WA
ZIP 98498
Phone: (253) 224-0125
Fax: (253) 212-9522

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  • Organization
  • Custodial Care Facility
  • CLIA Number: 50D2265329
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About LIFE STAR HEALTHCARE SERVICES LLC

This page provides the complete NPI Profile along with additional information for Life Star Healthcare Services Llc, a provider established in Lakewood, Washington operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1184455966 assigned on August 2024. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Melvin Waruinge Lpn (Ceo)

NPI
1184455966
Provider Name
LIFE STAR HEALTHCARE SERVICES LLC
Entity Type
Organization
Location Address
9104 104TH ST SW LAKEWOOD, WA 98498
Location Phone
(253) 224-0125
Location Fax
(253) 212-9522
Mailing Address
9104 104TH ST SW LAKEWOOD, WA 98498
Mailing Phone
(253) 224-0125
Mailing Fax
(253) 212-9522
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2024
Last Update Date
08-12-2024
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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

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

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

MELVIN WARUINGE LPN

Authorized Official Title
CEO
Authorized Official Phone
(253) 224-0125

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
50D2265329
Facility Type
Other - AFH
Certificate Effective Date
August 29, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
MELVIN WARUINGE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Life Star Healthcare Services Llc 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 1184455966, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 8 → 16 → 7 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 8 + 5 + 1 + 0 + 9 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1184455966.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184455966, enumerated as an "organization" on August 12, 2024.

The provider is located at 9104 104TH ST SW LAKEWOOD, WA 98498 and the phone number is (253) 224-0125.

Custodial Care Facility with taxonomy code 311Z00000X.