SPRING HILLS MOUNT VERNON
NPI 1306275805
Assisted Living Facility in Alexandria, VA

NPI Status: Active since November 05, 2013

Contact Information

3709 SHANNONS GREEN WAY
ALEXANDRIA, VA
ZIP 22309
Phone: (703) 780-7100
Fax: (703) 780-5771

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 49D2293060
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-01-2027

About SPRING HILLS MOUNT VERNON

This page provides the complete NPI Profile along with additional information for Spring Hills Mount Vernon, a provider established in Alexandria, Virginia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1306275805 assigned on November 2013. The practitioner's primary taxonomy code is 310400000X with license number ALF 1104029-L152 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Spring Hills Mount Vernon. The authorized official of this NPI record is Tom Vellis (Cfo)

NPI
1306275805
Provider Legal Name
PRAM MOUNT VERNON TE LLC
Other Organization Name
SPRING HILLS MOUNT VERNON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3709 SHANNONS GREEN WAY ALEXANDRIA, VA 22309
Location Phone
(703) 780-7100
Location Fax
(703) 780-5771
Mailing Address
515 PLAINFIELD AVE STE 200 EDISON, NJ 08817
Mailing Phone
(732) 582-0400
Mailing Fax
(703) 780-5771
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2013
Last Update Date
11-05-2013
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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
License No.
ALF 1104029-L152
License State
VA
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.

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

TOM VELLIS

Authorized Official Title
CFO
Authorized Official Phone
(732) 582-0400

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
49D2293060
Facility Type
Assisted Living Facility
Certificate Effective Date
November 02, 2025
Certificate Expiration Date
November 01, 2027
Laboratory Director
TRACEY B. HECOX
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spring Hills Mount Vernon 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 1306275805, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 2 → 4 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 4 + 7 + 1 + 0 + 8 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306275805.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
3709 SHANNONS GREEN WAY
ALEXANDRIA, VA 22309
Speech-Language Pathologist
3709 SHANNONS GREEN WAY
ALEXANDRIA, VA 22309
Physical Therapist
3709 SHANNONS GREEN WAY
ALEXANDRIA, VA 22309
Internal Medicine
3709 SHANNONS GREEN WAY
ALEXANDRIA, VA 22309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306275805, enumerated as an "organization" on November 05, 2013.

The provider is located at 3709 SHANNONS GREEN WAY ALEXANDRIA, VA 22309 and the phone number is (703) 780-7100.

Assisted Living Facility with taxonomy code 310400000X.