PARKWOOD VILLAGE
NPI 1619265261
Assisted Living Facility in Wilson, NC

NPI Status: Active since July 18, 2011

Contact Information

1730 PARKWOOD BLVD W
WILSON, NC
ZIP 27893
Phone: (252) 237-9050
Fax: (252) 237-9093

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 34D1095429
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-08-2027

About PARKWOOD VILLAGE

This page provides the complete NPI Profile along with additional information for Parkwood Village, a provider established in Wilson, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1619265261 assigned on July 2011. The practitioner's primary taxonomy code is 310400000X with license number HAL-098-029 (NC). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Parkwood Village. The authorized official of this NPI record is Katherine E Potter (President & Chief Executive Officer)

NPI
1619265261
Provider Legal Name
FVE SE WILSON LLC
Other Organization Name
PARKWOOD VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1730 PARKWOOD BLVD W WILSON, NC 27893
Location Phone
(252) 237-9050
Location Fax
(252) 237-9093
Mailing Address
400 CENTRE ST NEWTON, MA 02458
Mailing Phone
(617) 796-8387
Mailing Fax
(252) 237-9093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2011
Last Update Date
03-28-2019
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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.
HAL-098-029
License State
NC
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

KATHERINE E POTTER

Authorized Official Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(617) 796-8387

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
34D1095429
Facility Type
Assisted Living Facility
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
SARA BAKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Parkwood Village 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 1619265261, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 4 + 6 + 1 + 0 + 2 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1619265261.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893
Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619265261, enumerated as an "organization" on July 18, 2011.

The provider is located at 1730 PARKWOOD BLVD W WILSON, NC 27893 and the phone number is (252) 237-9050.

Assisted Living Facility with taxonomy code 310400000X.