LEGACY LIVING
NPI 1063925303
Custodial Care Facility - Adult Care Home in Baxter Springs, KS

NPI Status: Active since November 08, 2017

Contact Information

445 E 10TH ST
BAXTER SPRINGS, KS
ZIP 66713
Phone: (620) 856-2756

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About LEGACY LIVING

This page provides the complete NPI Profile along with additional information for Legacy Living, a provider established in Baxter Springs, Kansas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1063925303 assigned on November 2017. The practitioner's primary taxonomy code is 311ZA0620X with license number B011004 (KS). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Randy Duke Dotson (Owner/operator)

NPI
1063925303
Provider Name
LEGACY LIVING
Entity Type
Organization
Location Address
445 E 10TH ST BAXTER SPRINGS, KS 66713
Location Phone
(620) 856-2756
Mailing Address
445 E 10TH ST BAXTER SPRINGS, KS 66713
Mailing Phone
(620) 856-2756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2017
Last Update Date
11-08-2017
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
B011004
License State
KS
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.

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

RANDY DUKE DOTSON

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(620) 387-0005

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
B011004OTHER (01)KSHOME PLUS
818OTHER (01)KSADULT CARE OPERATOR

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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.
1063925303
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231821030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 2 + 1 + 0 + 3 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1063925303 is valid because the calculated check digit 3 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
1588601843 TYSON L. BURDEN M.D.
Individual
Internal Medicine445 E 10TH ST
BAXTER SPRINGS, KS 66713
(620) 856-3469
1366680126BURDEN MEDICAL CLINIC LLC
Organization
Clinic/Center445 E 10TH ST
BAXTER SPRINGS, KS 66713
(620) 856-3469
1134437411MRS. CRYSTAL MARIE TAYLOR ARNP
Individual
Nurse Practitioner (Family)445 E 10TH ST
BAXTER SPRINGS, KS 66713
(620) 856-3469
1962438457ST. JOHN'S MEDICAL GROUP
Organization
Clinic/Center (Rural Health)445 E 10TH ST
BAXTER SPRINGS, KS 66713
(620) 856-3469
1821897992EVERGREEN LIVING LLC
Organization
Custodial Care Facility (Adult Care Home)445 E 10TH ST
BAXTER SPRINGS, KS 66713
(620) 856-2756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063925303, enumerated in the NPI registry as an "organization" on November 08, 2017

The provider is located at 445 E 10th St Baxter Springs, Ks 66713 and the phone number is (620) 856-2756

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

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.

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].
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