EDGEWOOD KALISPELL SENIOR LIVING LLC
NPI 1720246879
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Kalispell, MT
NPI Status: Active since May 27, 2008
Contact Information
141 INTERSTATE LN
KALISPELL, MT
ZIP 59901
Phone: (406) 755-3240
Fax: (406) 755-3249
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
- CLIA Number: 27D1058156
- CLIA Cert. Type: Other
- CLIA Exp. Date: 08-29-2026
About EDGEWOOD KALISPELL SENIOR LIVING LLC
This page provides the complete NPI Profile along with additional information for Edgewood Kalispell Senior Living Llc, a provider established in Kalispell, Montana operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1720246879 assigned on May 2008. The practitioner's primary taxonomy code is 3104A0630X with license number 11325 (MT). 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 Brett Wilkening (Accounts Receivable)
- NPI
- 1720246879
- Provider Name
- EDGEWOOD KALISPELL SENIOR LIVING LLC
- Entity Type
- Organization
- Location Address
- 141 INTERSTATE LN KALISPELL, MT 59901
- Location Phone
- (406) 755-3240
- Location Fax
- (406) 755-3249
- Mailing Address
- 2850 24TH AVE S SUITE 201 GRAND FORKS, ND 58201
- Mailing Phone
- (701) 738-2000
- Mailing Fax
- (406) 755-3249
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2008
- Last Update Date
- 05-27-2008
- 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
Assisted Living Facility Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 11325
- License State
- MT
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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
- 27D1058156
- Facility Type
- Other
- Certificate Effective Date
- August 30, 2024
- Certificate Expiration Date
- August 29, 2026
- Laboratory Director
- MS. CARLA WILTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edgewood Kalispell Senior 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.
Reviews for EDGEWOOD KALISPELL SENIOR LIVING LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1720246879, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720246879, enumerated as an "organization" on May 27, 2008.
The provider is located at 141 INTERSTATE LN KALISPELL, MT 59901 and the phone number is (406) 755-3240.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
