CARSON VALLEY SENIOR LIVING LLC
NPI 1346803921
Assisted Living Facility in Gardnerville, NV

NPI Status: Active since April 18, 2019

Contact Information

1189 KIMMERLING RD
GARDNERVILLE, NV
ZIP 89460
Phone: (775) 737-1847
Fax: (775) 562-4757

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 29D1013519
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About CARSON VALLEY SENIOR LIVING LLC

This page provides the complete NPI Profile along with additional information for Carson Valley Senior Living Llc, a provider established in Gardnerville, Nevada operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1346803921 assigned on April 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Darryl Fisher (Manager)

NPI
1346803921
Provider Name
CARSON VALLEY SENIOR LIVING LLC
Entity Type
Organization
Location Address
1189 KIMMERLING RD GARDNERVILLE, NV 89460
Location Phone
(775) 737-1847
Location Fax
(775) 562-4757
Mailing Address
1189 KIMMERLING RD GARDNERVILLE, NV 89460
Mailing Phone
(775) 265-1400
Mailing Fax
(775) 562-4757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2019
Last Update Date
04-18-2019
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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
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

DARRYL FISHER

Authorized Official Title
MANAGER
Authorized Official Phone
(775) 434-1847

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
API-9005034721MEDICAID (05)NV 

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
29D1013519
Facility Type
Community Clinic
Certificate Effective Date
August 08, 2011
Certificate Expiration Date
May 22, 2026
Laboratory Director
DANIEL HAGEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Carson Valley Senior Living Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1346803921, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 4 → 8 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 6 + 0 + 6 + 9 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1346803921.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
1189 KIMMERLING RD
GARDNERVILLE, NV 89460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346803921, enumerated as an "organization" on April 18, 2019.

The provider is located at 1189 KIMMERLING RD GARDNERVILLE, NV 89460 and the phone number is (775) 737-1847.

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.