ELDERS JOURNEY
NPI 1063757839
Home Health in Bloomington, IN

NPI Status: Active since December 05, 2012

Contact Information

4101 E 3RD ST
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 334-2389
Fax: (812) 287-8181

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  • Organization
  • Home Health
  • CLIA Number: 15D2051052
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 12-11-2026

About ELDERS JOURNEY

This page provides the complete NPI Profile along with additional information for Elders Journey, a provider established in Bloomington, Indiana operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1063757839 assigned on December 2012. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ann Marie Harrison Rn (Administrator/owner)

NPI
1063757839
Provider Name
ELDERS JOURNEY
Entity Type
Organization
Location Address
4101 E 3RD ST BLOOMINGTON, IN 47401
Location Phone
(812) 334-2389
Location Fax
(812) 287-8181
Mailing Address
4101 E 3RD ST BLOOMINGTON, IN 47401
Mailing Phone
(812) 334-2389
Mailing Fax
(812) 287-8181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2012
Last Update Date
12-05-2012
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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

ANN MARIE HARRISON RN

Authorized Official Title
ADMINISTRATOR/OWNER
Authorized Official Phone
(812) 334-2389

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
15D2051052
Facility Type
Home Health Agency
Certificate Effective Date
December 12, 2024
Certificate Expiration Date
December 11, 2026
Laboratory Director
ANN M. HARRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elders Journey 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 ELDERS JOURNEY

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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.
1063757839
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231451486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 4 + 5 + 1 + 4 + 8 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1063757839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407190697GOLDEN YEARS HOME CARE OF INDIANA
Organization
Home Health4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 822-0145
1417517798JAMES D BAUGH
Organization
Social Worker (Clinical)4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 322-4515
1417631169 LINDSEY CORLEY
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1508546698 CARSYN WAYLAND RBT
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1437831708 JULIA JACKSON RBT
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1063291094 MICHELLE RILEY
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1972384204 GRACIE WORLEY
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1356185490 SHELBY HARRIS RBT
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 345-1044
1639551344 SARA ALLYN SHRIVASTAV
Individual
Behavior Analyst4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 747-9384
1144066689 JERAD ASHLEY RBT
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 320-6015
1619713468 HANNAH WESLEY
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 320-6015
1588402432 JOSELYN RIVERA
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1871331397 SHELBY JORDAN
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1053149534 ARIANA WINCHESTER
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1548098122 HANNAH NEAL
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1952139057 ZOE ISAAC-ALLEN
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1659101087 BRITTANY WHITE
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1740012418 DAPHNE KNIGHT
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1316771850 JESSICA CLARK
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494
1689408676 BRAINNA ENGLAND
Individual
Behavior Technician4101 E 3RD ST
BLOOMINGTON, IN 47401
(812) 318-4494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063757839, enumerated in the NPI registry as an "organization" on December 05, 2012

The provider is located at 4101 E 3rd St Bloomington, In 47401 and the phone number is (812) 334-2389

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 15D2051052 for a "home health agency" 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 December 05, 2012. 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.