VICTORIA HOUSE
NPI 1346366986
Assisted Living Facility in Port Townsend, WA

NPI Status: Active since March 22, 2007

Contact Information

491 DISCOVERY ROAD
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 379-8223
Fax: (360) 379-2789

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2060365
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About VICTORIA HOUSE

This page provides the complete NPI Profile along with additional information for Victoria House, a provider established in Port Townsend, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1346366986 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X with license number BH1780 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Victoria House. The authorized official of this NPI record is Mr. Walter A Levonowich (Vice President And Controller)

NPI
1346366986
Provider Legal Name
ASSISTED LIVING CONCEPTS INC
Other Organization Name
VICTORIA HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
491 DISCOVERY ROAD PORT TOWNSEND, WA 98368
Location Phone
(360) 379-8223
Location Fax
(360) 379-2789
Mailing Address
111 W MICHIGAN STREET 9TH FLOOR MILWAUKEE, WI 53203
Mailing Phone
(414) 908-8800
Mailing Fax
(360) 379-2789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
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.
BH1780
License State
WA
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.

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. WALTER A LEVONOWICH

Authorized Official Title
VICE PRESIDENT AND CONTROLLER
Authorized Official Phone
(414) 908-8800

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
353637MEDICAID (05)WA 

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
50D2060365
Facility Type
Assisted Living Facility
Certificate Effective Date
June 11, 2013
Certificate Expiration Date
April 04, 2028
Laboratory Director
KIMBERLY GIBBONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Victoria House 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.
1346366986
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23866612916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 6 + 1 + 2 + 9 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1346366986 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346366986, enumerated as an "organization" on March 22, 2007.

The provider is located at 491 DISCOVERY ROAD PORT TOWNSEND, WA 98368 and the phone number is (360) 379-8223.

Assisted Living Facility with taxonomy code 310400000X.

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