DELAWARE HIGHLANDS ASSISTED LIVING
NPI 1336291152
Assisted Living Facility in Kansas City, KS

NPI Status: Active since January 18, 2007

Contact Information

12600 DELAWARE PKWY
KANSAS CITY, KS
ZIP 66109
Phone: (913) 721-1400
Fax: (913) 400-7127

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 17D2029225
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-31-2025

About DELAWARE HIGHLANDS ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Delaware Highlands Assisted Living, a provider established in Kansas City, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1336291152 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number N105014 (KS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ketti Dawson M.s., Nha (Executive Director)

NPI
1336291152
Provider Name
DELAWARE HIGHLANDS ASSISTED LIVING
Entity Type
Organization
Location Address
12600 DELAWARE PKWY KANSAS CITY, KS 66109
Location Phone
(913) 721-1400
Location Fax
(913) 400-7127
Mailing Address
12600 DELAWARE PKWY KANSAS CITY, KS 66109
Mailing Phone
(913) 721-1400
Mailing Fax
(913) 400-7127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
08-22-2020
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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.
N105014
License State
KS
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

KETTI DAWSON M.S., NHA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(913) 721-1400

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
17D2029225
Facility Type
Assisted Living Facility
Certificate Effective Date
September 01, 2023
Certificate Expiration Date
August 31, 2025
Laboratory Director
THOMAS A. WALKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Delaware Highlands Assisted Living 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.
1336291152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366492110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 9 + 2 + 1 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1336291152 is valid because the calculated check digit 2 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.

DELAWARE HIGHLANDS A.L. SERVICES PROVIDER

Assisted Living Facility

12600 DELAWARE PKWY
KANSAS CITY, KS
ZIP 66109

(913) 721-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336291152, enumerated in the NPI registry as an "organization" on January 18, 2007

The provider is located at 12600 Delaware Pkwy Kansas City, Ks 66109 and the phone number is (913) 721-1400

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 17D2029225 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on January 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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