CLEARWATER RETIREMENT COMMUNITY INC.
NPI 1407819246
Alzheimer Center (Dementia Center) in Clearwater, KS

NPI Status: Active since April 11, 2006

Contact Information

620 E WOOD ST
CLEARWATER, KS
ZIP 67026
Phone: (620) 584-2271
Fax: (620) 584-4583

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  • Organization
  • Alzheimer Center (Dementia Center)

About CLEARWATER RETIREMENT COMMUNITY INC.

This page provides the complete NPI Profile along with additional information for Clearwater Retirement Community Inc., a provider established in Clearwater, Kansas operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1407819246 assigned on April 2006. The practitioner's primary taxonomy code is 311500000X with license number BO87123 (KS). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mrs. Izena Monk (Administrator)

NPI
1407819246
Provider Legal Name
CLEARWATER RETIREMENT COMMUNITY INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
620 E WOOD ST CLEARWATER, KS 67026
Location Phone
(620) 584-2271
Location Fax
(620) 584-4583
Mailing Address
620 E WOOD ST CLEARWATER, KS 67026
Mailing Phone
(620) 584-2271
Mailing Fax
(620) 584-4583
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2006
Last Update Date
09-11-2025
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
BO87123
License State
KS
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

NO87053 (KS)
2311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

BO87124 (KS)
3314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

NO87016 (KS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. IZENA MONK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(620) 584-2271

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10010890021MEDICAID (05)KS 

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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 1407819246, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 0 → 0 8 → 16 → 7 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 1 + 6 + 1 + 1 + 8 + 2 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1407819246.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Skilled Nursing Facility
620 E WOOD ST
CLEARWATER, KS 67026
Occupational Therapy Assistant
620 E WOOD ST
CLEARWATER, KS 67026
Skilled Nursing Facility
620 E WOOD ST
CLEARWATER, KS 67026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407819246, enumerated as an "organization" on April 11, 2006.

The provider is located at 620 E WOOD ST CLEARWATER, KS 67026 and the phone number is (620) 584-2271.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.