FORGETMENOT CARE HOME, INC.
NPI 1760781538
Alzheimer Center (Dementia Center) in Florence, CO

NPI Status: Active since March 19, 2011

Contact Information

9 S DORIS DR
FLORENCE, CO
ZIP 81226
Phone: (719) 372-0749
Fax: (719) 784-1395

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 06D2231070
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 07-28-2025

About FORGETMENOT CARE HOME, INC.

Forgetmenot Care Home, Inc. is a provider established in Florence, Colorado operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1760781538 assigned on March 2011. The practitioner's primary taxonomy code is 311500000X with license number 23U714 (CO). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Susan Gebhart (President)

NPI
1760781538
Provider Name
FORGETMENOT CARE HOME, INC.
Entity Type
Organization
Location Address
9 S DORIS DR FLORENCE, CO 81226
Location Phone
(719) 372-0749
Location Fax
(719) 784-1395
Mailing Address
9 S DORIS DR FLORENCE, CO 81226
Mailing Phone
(719) 372-0749
Mailing Fax
(719) 784-1395
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2011
Last Update Date
03-19-2011
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
23U714
License State
CO
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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

SUSAN GEBHART

Authorized Official Title
PRESIDENT
Authorized Official Phone
(719) 372-0749

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
06D2231070
Facility Type
Assisted Living Facility
Certificate Effective Date
July 29, 2023
Certificate Expiration Date
July 28, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Forgetmenot Care Home, Inc. 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 FORGETMENOT CARE HOME, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760781538
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120148256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 8 + 2 + 5 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1760781538 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1760263784CARE HAVEN ASSISTED LIVING, INC
Organization
Assisted Living Facility9 S DORIS DR
FLORENCE, CO 81226
(719) 372-0749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760781538, enumerated in the NPI registry as an "organization" on March 19, 2011

The provider is located at 9 S Doris Dr Florence, Co 81226 and the phone number is (719) 372-0749

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

The provider's CLIA number is 06D2231070 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on March 19, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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