CHARLESGATE SENIOR LIVING CENTER
NPI 1952814311
Assisted Living Facility in Providence, RI

NPI Status: Active since November 08, 2017

Contact Information

670 N MAIN ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 453-9317
Fax: (401) 453-9323

Get Directions Write a Review

  • Organization
  • Assisted Living Facility
  • CLIA Number: 41D2257543
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-06-2026

About CHARLESGATE SENIOR LIVING CENTER

This page provides the complete NPI Profile along with additional information for Charlesgate Senior Living Center, a provider established in Providence, Rhode Island operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1952814311 assigned on November 2017. The practitioner's primary taxonomy code is 310400000X with license number ALR01499 (RI). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Karen L Lally (President And Cfo)

NPI
1952814311
Provider Name
CHARLESGATE SENIOR LIVING CENTER
Entity Type
Organization
Location Address
670 N MAIN ST PROVIDENCE, RI 02904
Location Phone
(401) 453-9317
Location Fax
(401) 453-9323
Mailing Address
100 RANDALL STREET BUSINESS OFFICE PROVIDENCE, RI 02904
Mailing Phone
(401) 861-5858
Mailing Fax
(401) 453-9323
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2017
Last Update Date
07-24-2018
Code Navigator

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 No.
ALR01499
License State
RI
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:

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

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

MS. KAREN L LALLY

Authorized Official Title
PRESIDENT AND CFO
Authorized Official Phone
(401) 453-9331

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
ALR01499OTHER (01)RISTATE ISSUED OPERATING LICENSE

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
41D2257543
Facility Type
Assisted Living Facility
Certificate Effective Date
April 07, 2024
Certificate Expiration Date
April 06, 2026
Laboratory Director
JESSICA BONIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Charlesgate Senior Living Center 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 CHARLESGATE SENIOR LIVING CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1952814311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102161832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 1 + 8 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1952814311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952814311, enumerated in the NPI registry as an "organization" on November 08, 2017

The provider is located at 670 N Main St Providence, Ri 02904 and the phone number is (401) 453-9317

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 41D2257543 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 November 08, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.