PARK VILLAGE AL NP LLC
NPI 1366170854
Assisted Living Facility in New Philadelphia, OH

NPI Status: Active since August 11, 2022

Contact Information

1019 OLDTOWN VALLEY RD SE
NEW PHILADELPHIA, OH
ZIP 44663
Phone: (330) 447-3490
Fax: (330) 440-6000

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D2122509
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 11-29-2026

About PARK VILLAGE AL NP LLC

This page provides the complete NPI Profile along with additional information for Park Village Al Np Llc, a provider established in New Philadelphia, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1366170854 assigned on August 2022. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Jeffrey H Tucker (Chief Financial Officer)

NPI
1366170854
Provider Name
PARK VILLAGE AL NP LLC
Entity Type
Organization
Location Address
1019 OLDTOWN VALLEY RD SE NEW PHILADELPHIA, OH 44663
Location Phone
(330) 447-3490
Location Fax
(330) 440-6000
Mailing Address
1019 OLDTOWN VALLEY RD SE NEW PHILADELPHIA, OH 44663
Mailing Phone
(330) 447-3490
Mailing Fax
(330) 440-6000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-11-2022
Last Update Date
08-11-2022
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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.

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. JEFFREY H TUCKER

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(330) 447-3490

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
36D2122509
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
MICHELLE DRYDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Village Al Np Llc 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 1366170854, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 6 → 12 → 3 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 2 + 7 + 0 + 8 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366170854.

Other Providers at the Same Location


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

Skilled Nursing Facility
1019 OLDTOWN VALLEY RD SE
NEW PHILADELPHIA, OH 44663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366170854, enumerated as an "organization" on August 11, 2022.

The provider is located at 1019 OLDTOWN VALLEY RD SE NEW PHILADELPHIA, OH 44663 and the phone number is (330) 447-3490.

Assisted Living Facility with taxonomy code 310400000X.