PARK PLACE SENIOR LIVING, LLC
NPI 1396034237
Assisted Living Facility in Fort Wayne, IN
NPI Status: Active since March 31, 2011
Contact Information
4411 PARK PLACE DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 480-2500
- Organization
- Assisted Living Facility
- CLIA Number: 15D2023114
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-14-2027
About PARK PLACE SENIOR LIVING, LLC
This page provides the complete NPI Profile along with additional information for Park Place Senior Living, Llc, a provider established in Fort Wayne, Indiana operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396034237 assigned on March 2011. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Lachele R Henkle Weaver Hfa, Mba (Director Of Operations)
- NPI
- 1396034237
- Provider Name
- PARK PLACE SENIOR LIVING, LLC
- Entity Type
- Organization
- Location Address
- 4411 PARK PLACE DR FORT WAYNE, IN 46845
- Location Phone
- (260) 480-2500
- Mailing Address
- 4411 PARK PLACE DR FORT WAYNE, IN 46845
- Mailing Phone
- (260) 480-2500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2011
- Last Update Date
- 03-31-2011
- Code Navigator
Location Map
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.
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
- 15D2023114
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- April 15, 2025
- Certificate Expiration Date
- April 14, 2027
- Laboratory Director
- ANTHONY R. SCHANTZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Place Senior Living, 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 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. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 3 | 4 | 2 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 3 | 8 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 3 + 8 + 2 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1396034237 is valid because the calculated check digit 7 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 1396034237, enumerated in the NPI registry as an "organization" on March 31, 2011
The provider is located at 4411 Park Place Dr Fort Wayne, In 46845 and the phone number is (260) 480-2500
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 15D2023114 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 March 31, 2011. 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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