ELCM OAK RIDGE LEASING LLC
NPI 1033665492
Custodial Care Facility - Adult Care Home in Oak Ridge, TN

NPI Status: Active since August 26, 2016

Contact Information

300 BRIARCLIFF AVE
OAK RIDGE, TN
ZIP 37830
Phone: (865) 481-6009

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About ELCM OAK RIDGE LEASING LLC

This page provides the complete NPI Profile along with additional information for Elcm Oak Ridge Leasing Llc, a provider established in Oak Ridge, Tennessee operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1033665492 assigned on August 2016. The practitioner's primary taxonomy code is 311ZA0620X with license number ACL0000000346 (TN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Paul Boethel (Principal)

NPI
1033665492
Provider Name
ELCM OAK RIDGE LEASING LLC
Entity Type
Organization
Location Address
300 BRIARCLIFF AVE OAK RIDGE, TN 37830
Location Phone
(865) 481-6009
Mailing Address
14241 DALLAS PKWY SUITE 650, BUILDING 3 DALLAS, TX 75254
Mailing Phone
(973) 219-6873
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2016
Last Update Date
08-26-2016
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
ACL0000000346
License State
TN
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

PAUL BOETHEL

Authorized Official Title
PRINCIPAL
Authorized Official Phone
(214) 535-6071

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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.
1033665492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206312610418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 2 + 6 + 1 + 0 + 4 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1033665492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992253223ELCM OAK RIDGE MANAGEMENT LLC
Organization
Custodial Care Facility (Adult Care Home)300 BRIARCLIFF AVE
OAK RIDGE, TN 37830
(865) 481-6009
1033702337MRS. GINGER MEGAN PETTITT PTA
Individual
Physical Therapy Assistant300 BRIARCLIFF AVE
OAK RIDGE, TN 37830
(865) 481-6009
1841862547 SHELBY BEARDEN CCC-SLP
Individual
Speech-Language Pathologist300 BRIARCLIFF AVE
OAK RIDGE, TN 37830
(865) 481-6009
1609523273 HOLLY STACHE
Individual
Physical Therapy Assistant300 BRIARCLIFF AVE
OAK RIDGE, TN 37830
(865) 481-6009
1841928173 MACIE SUZANNE GREGORY
Individual
Physical Therapy Assistant300 BRIARCLIFF AVE
OAK RIDGE, TN 37830
(865) 481-6009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033665492, enumerated in the NPI registry as an "organization" on August 26, 2016

The provider is located at 300 Briarcliff Ave Oak Ridge, Tn 37830 and the phone number is (865) 481-6009

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on August 26, 2016. 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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