HAVEN OF SHOW LOW ALF
NPI 1881194629
Assisted Living Facility in Show Low, AZ

Overall Rating: 1 out of 5 stars

NPI Status: Active since February 19, 2018

Contact Information

2401 E HUNT DR
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-5333

Get Directions Write a Review

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Nursing Home Quality Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility

About HAVEN OF SHOW LOW ALF

This page provides the complete NPI Profile along with additional information for Haven Of Show Low Alf, a provider established in Show Low, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1881194629 assigned on February 2018. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Haven Of Show Low Alf. The authorized official of this NPI record is Mr. Brett Robertson (Ceo)

NPI: 1881194629
Provider Legal Name: HAVEN OF SHOW LOW ALF LLC
Other Organization Name: HAVEN OF SHOW LOW ALF
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2401 E HUNT DR SHOW LOW, AZ 85901
Location Phone: (928) 537-5333
Mailing Address: 2401 E HUNT DR SHOW LOW, AZ 85901
Mailing Phone: (928) 537-5333
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-19-2018
Last Update Date: 01-23-2020
Code Navigator

According to the Nursing Home Compare program data, Haven Of Show Low Alf has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.

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
Taxonomy Code: 310400000X
Type: Nursing & Custodial Care Facilities
License State: AZ
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:

Medicare

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

Medicaid

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: MR. BRETT ROBERTSON
Authorized Official Title: CEO
Authorized Official Phone: (801) 296-5100

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
463487	MEDICAID (05)	AZ

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating	- 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection Rating	Not Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating	- 3 out of 5 stars - Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating	- 4 out of 5 stars - Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating	- 2 out of 5 stars - Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating	- 2 out of 5 stars - Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours	1.51 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours	0.69 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover	41.7%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover	2
Number of administrators who left the nursing home within a given year.
Ownership Type	For profit - Limited Liability company
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds	58 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day	50 residents
Average number of residents living in the facility per day.
Automatic Sprinkler Systems	Yes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents	3 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints	5 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections	0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties	0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines	0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines	$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

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.
1	8	8	1	1	9	4	6	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	16	1	2	9	8	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 2 + 9 + 8 + 6 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1881194629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.