RESIDENCY AT RIDGEWOOD, LLC
NPI 1205617487
Assisted Living Facility in Waco, TX

NPI Status: Active since October 12, 2023

Contact Information

2178 WASHINGTON LN
WACO, TX
ZIP 76708
Phone: (254) 464-4663

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 45D2298137
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-28-2028

About RESIDENCY AT RIDGEWOOD, LLC

This page provides the complete NPI Profile along with additional information for Residency At Ridgewood, Llc, a provider established in Waco, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205617487 assigned on October 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Laura Painter (Owner)

NPI
1205617487
Provider Name
RESIDENCY AT RIDGEWOOD, LLC
Entity Type
Organization
Location Address
2178 WASHINGTON LN WACO, TX 76708
Location Phone
(254) 464-4663
Mailing Address
6312 COBBS DR WACO, TX 76710
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2023
Last Update Date
10-12-2023
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
2311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

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

LAURA PAINTER

Authorized Official Title
OWNER
Authorized Official Phone
(254) 214-4979

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
45D2298137
Facility Type
Assisted Living Facility
Certificate Effective Date
January 29, 2026
Certificate Expiration Date
January 28, 2028
Laboratory Director
LAURA T. PAINTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Residency At Ridgewood, 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 1205617487, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 0 → 0 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 2 + 1 + 1 + 4 + 4 + 1 + 6 + 24 = 53

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.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1205617487.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205617487, enumerated as an "organization" on October 12, 2023.

The provider is located at 2178 WASHINGTON LN WACO, TX 76708 and the phone number is (254) 464-4663.

Assisted Living Facility with taxonomy code 310400000X.