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

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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)
1	311500000X	Nursing & 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.

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	3	6	7	0	4	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	18	6	6	6	14	0	8
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 = 1									1

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.