ADDINGTON PLACE OF CLARKSTON
NPI 1396367041
Assisted Living Facility in Clarkston, MI

NPI Status: Active since May 15, 2020

Contact Information

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346
Phone: (617) 648-6814

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 23D2289244
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-06-2025

About ADDINGTON PLACE OF CLARKSTON

This page provides the complete NPI Profile along with additional information for Addington Place Of Clarkston, a provider established in Clarkston, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396367041 assigned on May 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Addington Place Of Clarkston. The authorized official of this NPI record is Patrick J Collins (Chief Operating Officer)

NPI
1396367041
Provider Legal Name
ARHC ARCLRMI01 TRS LLC
Other Organization Name
ADDINGTON PLACE OF CLARKSTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5700 WATER TOWER PL CLARKSTON, MI 48346
Location Phone
(617) 648-6814
Mailing Address
PO BOX 600 YORK, ME 03909
Mailing Phone
(617) 648-6814
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2020
Last Update Date
01-03-2023
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Location Map

Secondary Locations

  • 5900 Water Tower Pl
    Clarkston, MI 48346
    (617) 648-6814
  • 5800 Water Tower Pl
    Clarkston, MI 48346
    (617) 648-6814

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

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

PATRICK J COLLINS

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(442) 325-4038

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
23D2289244
Facility Type
Assisted Living Facility
Certificate Effective Date
September 07, 2023
Certificate Expiration Date
September 06, 2025
Laboratory Director
LUCILLE NOBLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Addington Place Of Clarkston 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.

Reviews for ADDINGTON PLACE OF CLARKSTON

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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.
1396367041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186661408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 6 + 6 + 1 + 4 + 0 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1396367041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

BETH ELAINE KOCIBA OTR/L

Occupational Therapist

(Physical Rehabilitation)

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346

(248) 625-0500

TORI MARSH

Speech-Language Pathologist

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346

(248) 625-0500

REGAIN THERAPY SERVICES LLC

Physical Therapist

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346

(248) 278-8938

EMPOWERME REHABILITATION, LLC

Clinic/Center

(Rehabilitation)

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346

(844) 502-7996

CHERYL MOORE OT

Occupational Therapist

5700 WATER TOWER PL
CLARKSTON, MI
ZIP 48346

(248) 278-8937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396367041, enumerated as an "organization" on May 15, 2020.

The provider is located at 5700 WATER TOWER PL CLARKSTON, MI 48346 and the phone number is (617) 648-6814.

Assisted Living Facility with taxonomy code 310400000X.