DEERFIELD RIDGE ASSISTED LIVING
NPI 1720734296
Custodial Care Facility - Adult Care Home in Boone, NC

NPI Status: Active since February 23, 2022

Contact Information

287 BAMBOO RD
BOONE, NC
ZIP 28607
Phone: (828) 677-2446

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 34D2149662
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 06-07-2028

About DEERFIELD RIDGE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Deerfield Ridge Assisted Living, a provider established in Boone, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1720734296 assigned on February 2022. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Deerfield Ridge Assisted Living. The authorized official of this NPI record is Jennilee Richardson (Chief Financial Officer)

NPI
1720734296
Provider Legal Name
RSS/BOONE OPERATIONS, LLC
Other Organization Name
DEERFIELD RIDGE ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
287 BAMBOO RD BOONE, NC 28607
Location Phone
(828) 677-2446
Mailing Address
5430 WADE PARK BLVD STE 310 RALEIGH, NC 27607
Mailing Phone
(919) 371-4233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2022
Last Update Date
04-22-2024
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

JENNILEE RICHARDSON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(919) 371-4233

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
34D2149662
Facility Type
Assisted Living Facility
Certificate Effective Date
June 08, 2026
Certificate Expiration Date
June 07, 2028
Laboratory Director
AMANDA R. BERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Deerfield Ridge Assisted Living 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 1720734296, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 7 → 14 → 5 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 4 + 3 + 8 + 2 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1720734296.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Custodial Care Facility (Adult Care Home)
287 BAMBOO RD
BOONE, NC 28607
Speech-Language Pathologist
287 BAMBOO RD
BOONE, NC 28607
Social Worker (Clinical)
287 BAMBOO RD
BOONE, NC 28607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720734296, enumerated as an "organization" on February 23, 2022.

The provider is located at 287 BAMBOO RD BOONE, NC 28607 and the phone number is (828) 677-2446.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.