REGENT COURT SENIOR LIVING
NPI 1972032126
Alzheimer Center (Dementia Center) in Corvallis, OR

NPI Status: Active since June 09, 2017

Contact Information

400 NW ELKS DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 758-8000

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 38D0972746
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-13-2026

About REGENT COURT SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Regent Court Senior Living, a provider established in Corvallis, Oregon operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1972032126 assigned on June 2017. The practitioner's primary taxonomy code is 311500000X with license number 1480724513 (OR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Regent Court Senior Living. The authorized official of this NPI record is Mr. Will Forsyth (Vice-president, Legal Counsel)

NPI
1972032126
Provider Legal Name
CSL - CORVALLIS, LLC
Other Organization Name
REGENT COURT SENIOR LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 NW ELKS DR CORVALLIS, OR 97330
Location Phone
(541) 758-8000
Mailing Address
1580 VALLEY RIVER DR STE 260 EUGENE, OR 97401
Mailing Phone
(541) 636-3460
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2017
Last Update Date
06-09-2017
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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.
1480724513
License State
OR
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.

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

MR. WILL FORSYTH

Authorized Official Title
VICE-PRESIDENT, LEGAL COUNSEL
Authorized Official Phone
(541) 636-3460

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
1480724513MEDICAID (05)OR 

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
38D0972746
Facility Type
Other
Certificate Effective Date
April 14, 2024
Certificate Expiration Date
April 13, 2026
Laboratory Director
JENNIFER ROBERTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regent Court Senior 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 1972032126, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
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 7 → 14 → 5 0 → 0 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 0 + 3 + 4 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1972032126.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Alzheimer Center (Dementia Center)
400 NW ELKS DR
CORVALLIS, OR 97330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972032126, enumerated as an "organization" on June 09, 2017.

The provider is located at 400 NW ELKS DR CORVALLIS, OR 97330 and the phone number is (541) 758-8000.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.