HIGH DESERT ASSISTED LIVING-HOUSE 2 LLC
NPI 1245895747
Assisted Living Facility - Assisted Living, Mental Illness in Clifton, CO

NPI Status: Active since May 09, 2019

Contact Information

3291 LOMBARDY LN
CLIFTON, CO
ZIP 81520
Phone: (205) 617-5888
Fax: (970) 787-6655

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness
  • CLIA Number: 06D2228345
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 06-24-2025

About HIGH DESERT ASSISTED LIVING-HOUSE 2 LLC

This page provides the complete NPI Profile along with additional information for High Desert Assisted Living-house 2 Llc, a provider established in Clifton, Colorado operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1245895747 assigned on May 2019. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jason J Cheney (Owner)

NPI
1245895747
Provider Name
HIGH DESERT ASSISTED LIVING-HOUSE 2 LLC
Entity Type
Organization
Location Address
3291 LOMBARDY LN CLIFTON, CO 81520
Location Phone
(205) 617-5888
Location Fax
(970) 787-6655
Mailing Address
3291 LOMBARDY LN CLIFTON, CO 81520
Mailing Phone
(970) 640-7371
Mailing Fax
(970) 787-6655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2019
Last Update Date
05-20-2024
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

JASON J CHENEY

Authorized Official Title
OWNER
Authorized Official Phone
(205) 617-5888

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
06D2228345
Facility Type
Assisted Living Facility
Certificate Effective Date
June 25, 2023
Certificate Expiration Date
June 24, 2025
Laboratory Director
JASON CHENEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to High Desert Assisted Living-house 2 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245895747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851691078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 9 + 1 + 0 + 7 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1245895747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SAM HEAN

Technician

(Personal Care Attendant)

3291 LOMBARDY LN
CLIFTON, CO
ZIP 81520

(970) 434-3888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245895747, enumerated as an "organization" on May 09, 2019.

The provider is located at 3291 LOMBARDY LN CLIFTON, CO 81520 and the phone number is (205) 617-5888.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.