PARKSIDE LIVING RTF
NPI 1447405147
Community Based Residential Treatment Facility, Mental Illness in Mcminnville, OR
NPI Status: Active since November 21, 2008
Contact Information
1525 SW SHIRLEY ANN DR
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-9603
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 38D2269025
- CLIA Cert. Type: Other - RESIDENTIAL CARE FACILITY
- CLIA Exp. Date: 09-19-2026
About PARKSIDE LIVING RTF
This page provides the complete NPI Profile along with additional information for Parkside Living Rtf, a provider established in Mcminnville, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1447405147 assigned on November 2008. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Pooneh Entezari (Owner)
- NPI
- 1447405147
- Provider Name
- PARKSIDE LIVING RTF
- Entity Type
- Organization
- Location Address
- 1525 SW SHIRLEY ANN DR MCMINNVILLE, OR 97128
- Location Phone
- (503) 472-9603
- Mailing Address
- 139 N LOTUS BEACH DR PORTLAND, OR 97217
- Mailing Phone
- (503) 309-6202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2008
- Last Update Date
- 11-21-2008
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License State
- OR
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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
- 38D2269025
- Facility Type
- Other - RESIDENTIAL CARE FACILITY
- Certificate Effective Date
- September 20, 2024
- Certificate Expiration Date
- September 19, 2026
- Laboratory Director
- ALYSSA PETTIBONE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Parkside Living Rtf 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 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 1447405147, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
MCMINNVILLE, OR 97128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447405147, enumerated as an "organization" on November 21, 2008.
The provider is located at 1525 SW SHIRLEY ANN DR MCMINNVILLE, OR 97128 and the phone number is (503) 472-9603.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
