WILLOW CREEK ASSISTED LIVING
NPI 1710132345
Clinic/Center - Developmental Disabilities in Willow, AK

NPI Status: Active since November 24, 2008

Contact Information

23281 W. WILLOW FISHHOK RD
WILLOW, AK
ZIP 99688
Phone: (907) 495-2999
Fax: (907) 495-9199

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About WILLOW CREEK ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Willow Creek Assisted Living, a provider established in Willow, Alaska operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1710132345 assigned on November 2008. The practitioner's primary taxonomy code is 261QD1600X with license number 100142 (AK). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Roberta Ellen Sandoval (Administrator)

NPI
1710132345
Provider Name
WILLOW CREEK ASSISTED LIVING
Entity Type
Organization
Location Address
23281 W. WILLOW FISHHOK RD WILLOW, AK 99688
Location Phone
(907) 495-2999
Location Fax
(907) 495-9199
Mailing Address
23281 W. WILLOW FISHOOK RD PO BOX 558 WILLOW, AK 99688
Mailing Phone
(907) 495-2999
Mailing Fax
(907) 495-9199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-24-2008
Last Update Date
11-24-2008
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
100142
License State
AK
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

MS. ROBERTA ELLEN SANDOVAL

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(907) 495-2999

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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 1710132345, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
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 1 → 2 1 → 2 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 2 + 3 + 4 + 3 + 8 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1710132345.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710132345, enumerated as an "organization" on November 24, 2008.

The provider is located at 23281 W. WILLOW FISHHOK RD WILLOW, AK 99688 and the phone number is (907) 495-2999.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.