WEEPING RIDGE ESTATE ADULT FAMILY HOME INC
NPI 1457756421
Custodial Care Facility - Adult Care Home in Othello, WA

NPI Status: Active since November 03, 2014

Contact Information

2455 W. BENCH RD
OTHELLO, WA
ZIP 99344
Phone: (509) 989-1843
Fax: (509) 465-1813

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 50D2313745
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About WEEPING RIDGE ESTATE ADULT FAMILY HOME INC

This page provides the complete NPI Profile along with additional information for Weeping Ridge Estate Adult Family Home Inc, a provider established in Othello, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1457756421 assigned on November 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 378700 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Israel Rodriguez (Administrator)

NPI
1457756421
Provider Name
WEEPING RIDGE ESTATE ADULT FAMILY HOME INC
Entity Type
Organization
Location Address
2455 W. BENCH RD OTHELLO, WA 99344
Location Phone
(509) 989-1843
Location Fax
(509) 465-1813
Mailing Address
12402 OSPREY RD NINE MILE FALLS, WA 99026
Mailing Phone
(509) 989-1843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2014
Last Update Date
11-03-2014
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
378700
License State
WA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

MR. ISRAEL RODRIGUEZ

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(509) 989-1843

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
270753OTHER (01)WAADULT FAMILY HOME

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
50D2313745
Facility Type
Other - AFH
Certificate Effective Date
November 06, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
ISRAEL RODRIGUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Weeping Ridge Estate Adult Family Home Inc 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 1457756421, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 4 + 5 + 1 + 2 + 4 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457756421.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457756421, enumerated as an "organization" on November 03, 2014.

The provider is located at 2455 W. BENCH RD OTHELLO, WA 99344 and the phone number is (509) 989-1843.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

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