MAPLE RIDGE ASSISTED LIVING COMMUNITY
NPI 1275721268
Exclusive Provider Organization in Salem, OR

NPI Status: Active since October 04, 2007

Contact Information

3220 STATE ST
SUITE 200
SALEM, OR
ZIP 97301
Phone: (503) 566-5715
Fax: (503) 588-3531

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  • Organization
  • Exclusive Provider Organization
  • CLIA Number: 50D2254857
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About MAPLE RIDGE ASSISTED LIVING COMMUNITY

This page provides the complete NPI Profile along with additional information for Maple Ridge Assisted Living Community, a provider established in Salem, Oregon operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1275721268 assigned on October 2007. The practitioner's primary taxonomy code is 302F00000X with license number 1966 (WA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Maple Ridge Assisted Living Community. The authorized official of this NPI record is Mr. Kelley D Hamilton (Ceo And President Of Manager)

NPI
1275721268
Provider Legal Name
MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC
Other Organization Name
MAPLE RIDGE ASSISTED LIVING COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3220 STATE ST SUITE 200 SALEM, OR 97301
Location Phone
(503) 566-5715
Location Fax
(503) 588-3531
Mailing Address
1767 ALLIANCE AVE FREELAND, WA 98249
Mailing Phone
(360) 331-1303
Mailing Fax
(503) 588-3531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2007
Last Update Date
10-04-2007
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
1966
License State
WA
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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. KELLEY D HAMILTON

Authorized Official Title
CEO AND PRESIDENT OF MANAGER
Authorized Official Phone
(503) 566-5715

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
50D2254857
Facility Type
Assisted Living Facility
Certificate Effective Date
March 08, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
NICOLE BROPHY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maple Ridge Assisted Living Community 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.

Reviews for MAPLE RIDGE ASSISTED LIVING COMMUNITY

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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 1275721268, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 4 + 2 + 2 + 2 + 1 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1275721268.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275721268, enumerated as an "organization" on October 04, 2007.

The provider is located at 3220 STATE ST SUITE 200 SALEM, OR 97301 and the phone number is (503) 566-5715.

Exclusive Provider Organization with taxonomy code 302F00000X.