RUSTIC ROSE ASSISTED LIVING
NPI 1578912234
Assisted Living Facility in Centennial, CO

NPI Status: Active since June 03, 2016

Contact Information

19458 E EUCLID DR
CENTENNIAL, CO
ZIP 80016
Phone: (303) 627-4675

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NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 06D2241089
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-24-2027

About RUSTIC ROSE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Rustic Rose Assisted Living, a provider established in Centennial, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1578912234 assigned on June 2016. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Rosaline Marie Johnson Bshm (Administrator)

NPI
1578912234
Provider Name
RUSTIC ROSE ASSISTED LIVING
Entity Type
Organization
Location Address
19458 E EUCLID DR CENTENNIAL, CO 80016
Location Phone
(303) 627-4675
Mailing Address
19458 E EUCLID DR CENTENNIAL, CO 80016
Mailing Phone
(303) 627-4675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2016
Last Update Date
06-03-2016
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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
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

ROSALINE MARIE JOHNSON BSHM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(303) 627-4675

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
06D2241089
Facility Type
Assisted Living Facility
Certificate Effective Date
October 25, 2025
Certificate Expiration Date
October 24, 2027
Laboratory Director
ROSE JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rustic Rose Assisted Living 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 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 1578912234, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 8 + 1 + 4 + 2 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1578912234.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578912234, enumerated as an "organization" on June 03, 2016.

The provider is located at 19458 E EUCLID DR CENTENNIAL, CO 80016 and the phone number is (303) 627-4675.

Assisted Living Facility with taxonomy code 310400000X.