GATES MILLS ASSISTED LIVING LLC
NPI 1649764945
Assisted Living Facility in Mayfield Heights, OH

NPI Status: Active since June 20, 2018

Contact Information

6759 MAYFIELD RD
MAYFIELD HEIGHTS, OH
ZIP 44124
Phone: (440) 461-2010
Fax: (440) 461-5949

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D2204870
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 12-09-2026

About GATES MILLS ASSISTED LIVING LLC

This page provides the complete NPI Profile along with additional information for Gates Mills Assisted Living Llc, a provider established in Mayfield Heights, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649764945 assigned on June 2018. The practitioner's primary taxonomy code is 310400000X with license number 2803R (OH). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's former legal business name is Gates Mills Club Senior Living. The authorized official of this NPI record is Vickie Sheppard (Executive Director)

NPI
1649764945
Provider Legal Name
GATES MILLS ASSISTED LIVING LLC
Other Organization Name
GATES MILLS CLUB SENIOR LIVING
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
6759 MAYFIELD RD MAYFIELD HEIGHTS, OH 44124
Location Phone
(440) 461-2010
Location Fax
(440) 461-5949
Mailing Address
6759 MAYFIELD RD MAYFIELD HEIGHTS, OH 44124
Mailing Phone
(440) 461-2010
Mailing Fax
(440) 461-5949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2018
Last Update Date
06-20-2018
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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.
2803R
License State
OH
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

VICKIE SHEPPARD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(440) 461-2010

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
36D2204870
Facility Type
Assisted Living Facility
Certificate Effective Date
December 10, 2024
Certificate Expiration Date
December 09, 2026
Laboratory Director
HELENA SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gates Mills 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 1649764945, 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 85. The final step is to find the difference between that total and the next multiple of ten (90 - 85 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 4 + 6 + 8 + 9 + 8 + 24 = 85

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

The next multiple of ten after 85 is 90. The difference is the calculated check digit.

90 - 85 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1649764945.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649764945, enumerated as an "organization" on June 20, 2018.

The provider is located at 6759 MAYFIELD RD MAYFIELD HEIGHTS, OH 44124 and the phone number is (440) 461-2010.

Assisted Living Facility with taxonomy code 310400000X.