EDISON ASSISTED LIVING CENTER
NPI 1720350341
Assisted Living Facility in Grand Rapids, MI

NPI Status: Active since January 27, 2012

Contact Information

1010 EDISON AVE NW
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 453-0581
Fax: (616) 791-0910

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  • Organization
  • Assisted Living Facility

About EDISON ASSISTED LIVING CENTER

This page provides the complete NPI Profile along with additional information for Edison Assisted Living Center, a provider established in Grand Rapids, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720350341 assigned on January 2012. The practitioner's primary taxonomy code is 310400000X with license number AH410236778 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Edison Assisted Living Center. The authorized official of this NPI record is James Horjus (Administrator)

NPI
1720350341
Provider Legal Name
CHRISTIAN REST HOME ASSOCIATION
Other Organization Name
EDISON ASSISTED LIVING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1010 EDISON AVE NW GRAND RAPIDS, MI 49504
Location Phone
(616) 453-0581
Location Fax
(616) 791-0910
Mailing Address
1010 EDISON AVE NW GRAND RAPIDS, MI 49504
Mailing Phone
(616) 453-0581
Mailing Fax
(616) 791-0910
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-27-2012
Last Update Date
01-27-2012
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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.
AH410236778
License State
MI
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JAMES HORJUS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(616) 453-0581

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AH410236778OTHER (01)MIMICHIGAN DEPARTMENT OF HUMAN SERVICES

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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 1720350341, 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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
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 2 → 4 3 → 6 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 6 + 5 + 0 + 3 + 8 + 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 1720350341.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapy Assistant
1010 EDISON AVE NW
GRAND RAPIDS, MI 49504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720350341, enumerated as an "organization" on January 27, 2012.

The provider is located at 1010 EDISON AVE NW GRAND RAPIDS, MI 49504 and the phone number is (616) 453-0581.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.