PEACE HARBOR HOSPICE
NPI 1215918719
Hospice Care, Community Based in Florence, OR

NPI Status: Active since November 10, 2005

Contact Information

2230 KINGWOOD STREET
FLORENCE, OR
ZIP 97439
Phone: (541) 997-3418
Fax: (541) 902-6740

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 38D0703256
  • CLIA Cert. Type: Other - 13 HOSPICE, 14 HOME HEALT
  • CLIA Exp. Date: 12-31-2025

About PEACE HARBOR HOSPICE

This page provides the complete NPI Profile along with additional information for Peace Harbor Hospice, a provider established in Florence, Oregon operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1215918719 assigned on November 2005. The practitioner's primary taxonomy code is 251G00000X with license number N/A (). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Peace Harbor Hospice. The authorized official of this NPI record is Mr. Richard Yecny (Ceo)

NPI
1215918719
Provider Legal Name
PEACEHEALTH
Other Organization Name
PEACE HARBOR HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2230 KINGWOOD STREET FLORENCE, OR 97439
Location Phone
(541) 997-3418
Location Fax
(541) 902-6740
Mailing Address
400 9TH STREET FLORENCE, OR 97439
Mailing Phone
(541) 997-3418
Mailing Fax
(541) 902-6740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2005
Last Update Date
08-20-2014
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
N/A

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. RICHARD YECNY

Authorized Official Title
CEO
Authorized Official Phone
(541) 902-6050

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
381536MEDICARE OSCAR/CERTIFICATION (06)OR 
135884MEDICAID (05)OR 

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
38D0703256
Facility Type
Other - 13 HOSPICE, 14 HOME HEALT
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
ALICIA MORRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peace Harbor Hospice 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 1215918719, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 1 → 2 9 → 18 → 9 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 8 + 1 + 1 + 6 + 7 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1215918719.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215918719, enumerated as an "organization" on November 10, 2005.

The provider is located at 2230 KINGWOOD STREET FLORENCE, OR 97439 and the phone number is (541) 997-3418.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.