LAKE RIDGE SOLANA ALZHEIMER'S CARE CENTER
NPI 1568402295
Skilled Nursing Facility in Moses Lake, WA
NPI Status: Active since June 08, 2006
Contact Information
817 E PLUM ST
MOSES LAKE, WA
ZIP 98837
Phone: (509) 765-7835
Fax: (509) 765-6705
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 50D0661557
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-04-2028
About LAKE RIDGE SOLANA ALZHEIMER'S CARE CENTER
This page provides the complete NPI Profile along with additional information for Lake Ridge Solana Alzheimer's Care Center, a provider established in Moses Lake, Washington operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1568402295 assigned on June 2006. The practitioner's primary taxonomy code is 314000000X with license number NH1152 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Lake Ridge Solana Alzheimer's Care Center. The authorized official of this NPI record is Michael Berg (Assistant Secretary)
- NPI
- 1568402295
- Provider Legal Name
- SUNBRIDGE HEALTHCARE LLC
- Other Organization Name
- LAKE RIDGE SOLANA ALZHEIMER'S CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 817 E PLUM ST MOSES LAKE, WA 98837
- Location Phone
- (509) 765-7835
- Location Fax
- (509) 765-6705
- Mailing Address
- 101 SUN AVE NE COMPLIANCE DEPARTMENT ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 468-5604
- Mailing Fax
- (509) 765-6705
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-08-2006
- Last Update Date
- 07-13-2015
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- NH1152
- License State
- WA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) | NH1152 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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.
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.
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 |
|---|---|---|---|
| ========= | OTHER (01) | WA | AETNA HEALTHCARE |
| ========= | OTHER (01) | WA | MUTUAL OF OMAHA |
| ========= | OTHER (01) | WA | STATE FARM HEALTH INS |
| 505261 | MEDICARE OSCAR/CERTIFICATION (06) | ||
| ========= | OTHER (01) | WA | BC/BS OF WA & AK |
| ========= | OTHER (01) | WA | UNITED HEALTHCARE |
| ========= | OTHER (01) | WA | STERLING LIFE INS CO |
| ========= | OTHER (01) | WA | AARP HEALTHCARE OPTIONS |
| ========= | OTHER (01) | WA | UNITED AMERICAN INSURANCE |
| ========= | OTHER (01) | WA | G.E. FINANCIAL ASSURANCE |
| ========= | OTHER (01) | WA | BC/BS FEDERAL EMP PROGRAM |
| ========= | OTHER (01) | WA | ILWU-PMA WELFARE PLAN |
| ========= | OTHER (01) | WA | ZENITH ADMINISTRATORS |
| ========= | OTHER (01) | WA | NW ADMINISTRATORS INC |
| ========= | OTHER (01) | WA | FEDERAL HOME LIFE INS |
| ========= | OTHER (01) | WA | UNIFORM MEDICAL |
| 4114435 | MEDICAID (05) | WA | |
| 583 | OTHER (01) | WA | MSC/PREMERA BLUE CROSS |
| ========= | OTHER (01) | WA | TRI-CARE WPS |
| ========= | OTHER (01) | WA | REGENCE BLUE SHIELD |
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
- 50D0661557
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- July 29, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- SHELLY NOLETTE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Ridge Solana Alzheimer's Care Center 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 1568402295, 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.
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568402295, enumerated as an "organization" on June 08, 2006.
The provider is located at 817 E PLUM ST MOSES LAKE, WA 98837 and the phone number is (509) 765-7835.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
