VILLAGE AT WATERMAN LAKE
NPI 1417164096
Assisted Living Facility in Greenville, RI
NPI Status: Active since May 16, 2007
Contact Information
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
Phone: (401) 949-4333
- Organization
- Assisted Living Facility
- CLIA Number: 41D2195335
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-07-2026
About VILLAGE AT WATERMAN LAKE
This page provides the complete NPI Profile along with additional information for Village At Waterman Lake, a provider established in Greenville, Rhode Island operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1417164096 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number ALR01347 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Roberta Burley (Contoller)
- NPI
- 1417164096
- Provider Name
- VILLAGE AT WATERMAN LAKE
- Entity Type
- Organization
- Location Address
- 715 PUTNAM PIKE GREENVILLE, RI 02828
- Location Phone
- (401) 949-4333
- Mailing Address
- 715 PUTNAM PIKE GREENVILLE, RI 02828
- Mailing Phone
- (401) 949-4333
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 08-22-2020
- 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
- License No.
- ALR01347
- License State
- RI
- 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
- 41D2195335
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 08, 2024
- Certificate Expiration Date
- October 07, 2026
- Laboratory Director
- OLIVER HARVEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Village At Waterman Lake 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 VILLAGE AT WATERMAN LAKE
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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 | 4 | 1 | 7 | 1 | 6 | 4 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 2 | 6 | 8 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 2 + 6 + 8 + 0 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1417164096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
TRI-TOWN ECONOMIC OPPORTUNITY COMMITTEE
Clinic/Center
(Adult Day Care)
715 PUTNAM PIKE
ADULT DAY SERVICE BUILDING
GREENVILLE, RI
ZIP 02828
ANAMARIA ARTEAGA MA, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
MS. KATHRYN OLIVIA BARRESE MA, LBA, BCBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
HANNAH CERONE
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
ALLISON KINOIAN M.A, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
JESSICA LYN PLANTE MA, BACB, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
YANA GRIGORYEVA BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
ALESSANDRA WIDMANN MA, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
DANALYN HOLDREDGE MA, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
DR. ANDREA MELINDA CHAIT PH.D., BCBA,LBA,NCSP
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
MRS. MACKENZIE JO-ANE JAQUITH MA, LBA, BCBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
KATELYN TROMBLEY
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
REBECCA JEAN ALLEN MA, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
DR. ELIZABETH ANNE ALLEN PHD, BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
MRS. BETHANY ANNE GIARRUSSO M.ED., BCBA, LBA
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
DOMENIQUE MARIE DEMAIO
Behavior Analyst
715 PUTNAM PIKE
GREENVILLE, RI
ZIP 02828
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417164096, enumerated in the NPI registry as an "organization" on May 16, 2007
The provider is located at 715 Putnam Pike Greenville, Ri 02828 and the phone number is (401) 949-4333
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 41D2195335 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 May 16, 2007. 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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