PROMISE ASSISTED LIVING, LLC
NPI 1477971448
Residential Treatment Facility, Physical Disabilities in Los Angeles, CA

NPI Status: Active since April 07, 2014

Contact Information

1231 S ALVARADO ST
LOS ANGELES, CA
ZIP 90006
Phone: (310) 205-2591
Fax: (310) 205-2596

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  • Organization
  • Residential Treatment Facility, Physical...
  • CLIA Number: 05D2078685
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 06-02-2028

About PROMISE ASSISTED LIVING, LLC

This page provides the complete NPI Profile along with additional information for Promise Assisted Living, Llc, a provider established in Los Angeles, California operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1477971448 assigned on April 2014. The practitioner's primary taxonomy code is 320700000X with license number 197608604 (CA). 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. Zulficar Gregory Restum (Ceo)

NPI
1477971448
Provider Name
PROMISE ASSISTED LIVING, LLC
Entity Type
Organization
Location Address
1231 S ALVARADO ST LOS ANGELES, CA 90006
Location Phone
(310) 205-2591
Location Fax
(310) 205-2596
Mailing Address
1231 S ALVARADO ST LOS ANGELES, CA 90006
Mailing Phone
(310) 205-2591
Mailing Fax
(310) 205-2596
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2014
Last Update Date
04-07-2014
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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
197608604
License State
CA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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. ZULFICAR GREGORY RESTUM

Authorized Official Title
CEO
Authorized Official Phone
(310) 205-2591

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
05D2078685
Facility Type
Assisted Living Facility
Certificate Effective Date
June 03, 2026
Certificate Expiration Date
June 02, 2028
Laboratory Director
MIRALI ZARRABI, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Promise Assisted Living, Llc 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 1477971448, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 7 → 14 → 5 9 → 18 → 9 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 8 + 7 + 2 + 4 + 8 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1477971448.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477971448, enumerated as an "organization" on April 07, 2014.

The provider is located at 1231 S ALVARADO ST LOS ANGELES, CA 90006 and the phone number is (310) 205-2591.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.