HEAVENLY ACRES AFH INC.
NPI 1518131036
Custodial Care Facility - Adult Care Home in Graham, WA

NPI Status: Active since April 16, 2008

Contact Information

27115 76TH AVE E
GRAHAM, WA
ZIP 98338
Phone: (253) 846-5425
Fax: (253) 559-9990

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 50D2266931
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About HEAVENLY ACRES AFH INC.

This page provides the complete NPI Profile along with additional information for Heavenly Acres Afh Inc., a provider established in Graham, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1518131036 assigned on April 2008. The practitioner's primary taxonomy code is 311ZA0620X with license number 366700 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Christine Angelique Saywers (President)

NPI
1518131036
Provider Name
HEAVENLY ACRES AFH INC.
Entity Type
Organization
Location Address
27115 76TH AVE E GRAHAM, WA 98338
Location Phone
(253) 846-5425
Location Fax
(253) 559-9990
Mailing Address
27115 76TH AVE E GRAHAM, WA 98338
Mailing Phone
(253) 846-5425
Mailing Fax
(253) 559-9990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2008
Last Update Date
09-17-2008
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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.
366700
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.

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

MRS. CHRISTINE ANGELIQUE SAYWERS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(253) 846-5425

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
50D2266931
Facility Type
Assisted Living Facility
Certificate Effective Date
August 17, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
CHRISTINE SAYWERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heavenly Acres Afh 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 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.
1518131036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252823206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 3 + 2 + 0 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1518131036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518131036, enumerated as an "organization" on April 16, 2008.

The provider is located at 27115 76TH AVE E GRAHAM, WA 98338 and the phone number is (253) 846-5425.

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