PONDEROSA ASSISTED LIVING
NPI 1912142324
Assisted Living Facility in Williams, AZ

NPI Status: Active since December 15, 2008

Contact Information

826 HEREFORD DR
WILLIAMS, AZ
ZIP 86046
Phone: (928) 635-4179

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  • Organization
  • Assisted Living Facility

About PONDEROSA ASSISTED LIVING

Ponderosa Assisted Living is a provider established in Williams, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1912142324 assigned on December 2008. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Lisa E Kennedy (Owner/manager)

NPI
1912142324
Provider Name
PONDEROSA ASSISTED LIVING
Entity Type
Organization
Location Address
826 HEREFORD DR WILLIAMS, AZ 86046
Location Phone
(928) 635-4179
Mailing Address
PO BOX 16153 BELLEMONT, AZ 86015
Mailing Phone
(928) 635-4199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2008
Last Update Date
12-15-2008
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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 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.

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

LISA E KENNEDY

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(928) 635-4179

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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.
1912142324
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292224434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 2 + 4 + 4 + 3 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1912142324 is valid because the calculated check digit 4 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
1477881985ARIZONA SENIOR CARE CENTERS
Organization
Assisted Living Facility826 HEREFORD DR
WILLIAMS, AZ 86046
(928) 853-4486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912142324, enumerated in the NPI registry as an "organization" on December 15, 2008

The provider is located at 826 Hereford Dr Williams, Az 86046 and the phone number is (928) 635-4179

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on December 15, 2008. 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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