AMADA SENIOR CARE OF NORTHERN COLORADO
NPI 1366977563
In Home Supportive Care in Fort Collins, CO

NPI Status: Active since April 25, 2017

Contact Information

2850 MCCLELLAND DR
3000-K
FORT COLLINS, CO
ZIP 80525
Phone: (970) 237-5747
Fax: (970) 237-6726

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 06D2235115
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About AMADA SENIOR CARE OF NORTHERN COLORADO

This page provides the complete NPI Profile along with additional information for Amada Senior Care Of Northern Colorado, a provider established in Fort Collins, Colorado operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1366977563 assigned on April 2017. The practitioner's primary taxonomy code is 253Z00000X with license number 04V719 (CO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Amada Senior Care Of Northern Colorado. The authorized official of this NPI record is Lisa Olsen (Administrator)

NPI
1366977563
Provider Legal Name
ROCKY MOUNTAIN INDEPENDENT LIVING, INC.
Other Organization Name
AMADA SENIOR CARE OF NORTHERN COLORADO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2850 MCCLELLAND DR 3000-K FORT COLLINS, CO 80525
Location Phone
(970) 237-5747
Location Fax
(970) 237-6726
Mailing Address
2850 MCCLELLAND DR 3000-K FORT COLLINS, CO 80525
Mailing Phone
(970) 237-5747
Mailing Fax
(970) 237-6726
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2017
Last Update Date
04-25-2017
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
04V719
License State
CO
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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

LISA OLSEN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(970) 237-5747

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
06D2235115
Facility Type
Physician Office
Certificate Effective Date
December 30, 2021
Certificate Expiration Date
October 31, 2025
Laboratory Director
DR. KENNETH H. WEISIGER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Amada Senior Care Of Northern Colorado after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1366977563, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

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 + 1 + 8 + 7 + 1 + 4 + 5 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366977563.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Chiropractor
2850 MCCLELLAND DR, SUITE 1600
FORT COLLINS, CO 80525
Home Health
2850 MCCLELLAND DR, SUITE 1900
FORT COLLINS, CO 80525
Counselor
2850 MCCLELLAND DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
2850 MCCLELLAND DR
FORT COLLINS, CO 80525
Counselor (Mental Health)
2850 MCCLELLAND DR
FORT COLLINS, CO 80525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366977563, enumerated as an "organization" on April 25, 2017.

The provider is located at 2850 MCCLELLAND DR 3000-K FORT COLLINS, CO 80525 and the phone number is (970) 237-5747.

In Home Supportive Care with taxonomy code 253Z00000X.