A ROSIE PLACE
NPI 1720374374
Special Hospital in South Bend, IN

NPI Status: Active since June 22, 2011

Contact Information

53131 QUINCE RD
SOUTH BEND, IN
ZIP 46628
Phone: (574) 235-8899
Fax: (574) 235-8897

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  • Organization
  • Special Hospital
  • CLIA Number: 15D2008816
  • CLIA Cert. Type: Other - SHORT TERM RESPITE HOS FO
  • CLIA Exp. Date: 06-17-2026

About A ROSIE PLACE

This page provides the complete NPI Profile along with additional information for A Rosie Place, a provider established in South Bend, Indiana operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1720374374 assigned on June 2011. The practitioner's primary taxonomy code is 284300000X with license number 11-012157-1 (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as A Rosie Place. The authorized official of this NPI record is Tieal C. Bishop (Executive Director/ceo)

NPI
1720374374
Provider Legal Name
O'HANA HERITAGE FOUNDATION INC
Other Organization Name
A ROSIE PLACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
53131 QUINCE RD SOUTH BEND, IN 46628
Location Phone
(574) 235-8899
Location Fax
(574) 235-8897
Mailing Address
53131 QUINCE RD SOUTH BEND, IN 46628
Mailing Phone
(574) 235-8899
Mailing Fax
(574) 235-8897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2011
Last Update Date
10-23-2015
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License No.
11-012157-1
License State
IN
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

TIEAL C. BISHOP

Authorized Official Title
EXECUTIVE DIRECTOR/CEO
Authorized Official Phone
(574) 315-6283

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
15D2008816
Facility Type
Other - SHORT TERM RESPITE HOS FO
Certificate Effective Date
June 18, 2024
Certificate Expiration Date
June 17, 2026
Laboratory Director
MICHAELEEN CONLEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to A Rosie Place 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 1720374374, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

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 + 7 + 8 + 3 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720374374.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720374374, enumerated as an "organization" on June 22, 2011.

The provider is located at 53131 QUINCE RD SOUTH BEND, IN 46628 and the phone number is (574) 235-8899.

Special Hospital with taxonomy code 284300000X.