EAGLE SPRINGS MEMORY CARE COMMUNITY
NPI 1467572495
Assisted Living Facility in College Place, WA

NPI Status: Active since March 31, 2007

Contact Information

20 SE LARCH AVE
COLLEGE PLACE, WA
ZIP 99324
Phone: (509) 525-6335

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2165538
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About EAGLE SPRINGS MEMORY CARE COMMUNITY

This page provides the complete NPI Profile along with additional information for Eagle Springs Memory Care Community, a provider established in College Place, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1467572495 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X with license number BH 1370 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Eagle Springs Memory Care Community. The authorized official of this NPI record is Jon Harder (Manager)

NPI
1467572495
Provider Legal Name
EAGLE SPRINGS SPECIALIZED CARE, LLC
Other Organization Name
EAGLE SPRINGS MEMORY CARE COMMUNITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20 SE LARCH AVE COLLEGE PLACE, WA 99324
Location Phone
(509) 525-6335
Mailing Address
3723 FAIRVIEW INDUSTRIAL DR SE STE 270 SALEM, OR 97302
Mailing Phone
(503) 485-8691
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2007
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
BH 1370
License State
WA
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.

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

JON HARDER

Authorized Official Title
MANAGER
Authorized Official Phone
(503) 485-4600

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
50D2165538
Facility Type
Assisted Living Facility
Certificate Effective Date
April 30, 2019
Certificate Expiration Date
April 04, 2028
Laboratory Director
KRISTINA DOWNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eagle Springs Memory Care Community 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 1467572495, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 6 → 12 → 3 5 → 10 → 1 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 0 + 7 + 4 + 4 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1467572495.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Alzheimer Center (Dementia Center)
20 SE LARCH AVE
COLLEGE PLACE, WA 99324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467572495, enumerated as an "organization" on March 31, 2007.

The provider is located at 20 SE LARCH AVE COLLEGE PLACE, WA 99324 and the phone number is (509) 525-6335.

Assisted Living Facility with taxonomy code 310400000X.