WOODLANDS SENIOR LIVING OF BRIDGTON
NPI 1194489674
Alzheimer Center (Dementia Center) in Bridgton, ME

NPI Status: Active since October 29, 2021

Contact Information

210 N HIGH STREET
BRIDGTON, ME
ZIP 04009
Phone: (207) 872-8992
Fax: (207) 872-8990

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 20D2274617
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-08-2027

About WOODLANDS SENIOR LIVING OF BRIDGTON

This page provides the complete NPI Profile along with additional information for Woodlands Senior Living Of Bridgton, a provider established in Bridgton, Maine operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1194489674 assigned on October 2021. The practitioner's primary taxonomy code is 311500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jill A Sirois Rn (Access Manager)

NPI
1194489674
Provider Name
WOODLANDS SENIOR LIVING OF BRIDGTON
Entity Type
Organization
Location Address
210 N HIGH STREET BRIDGTON, ME 04009
Location Phone
(207) 872-8992
Location Fax
(207) 872-8990
Mailing Address
141 W RIVER RD STE 300 WATERVILLE, ME 04901
Mailing Phone
(941) 504-0659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2021
Last Update Date
10-29-2021
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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

JILL A SIROIS RN

Authorized Official Title
ACCESS MANAGER
Authorized Official Phone
(941) 504-0659

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
20D2274617
Facility Type
Assisted Living Facility
Certificate Effective Date
January 09, 2025
Certificate Expiration Date
January 08, 2027
Laboratory Director
SUSAN ROBBINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Woodlands Senior Living Of Bridgton 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 1194489674, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 9 → 18 → 9 4 → 8 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 8 + 8 + 1 + 8 + 6 + 1 + 4 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194489674.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194489674, enumerated as an "organization" on October 29, 2021.

The provider is located at 210 N HIGH STREET BRIDGTON, ME 04009 and the phone number is (207) 872-8992.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.