HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC
NPI 1093465577
Assisted Living Facility - Assisted Living, Mental Illness in Baltimore, MD

NPI Status: Active since March 27, 2022

Contact Information

908 VALLEY ST
BALTIMORE, MD
ZIP 21202
Phone: (443) 708-5056

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC

This page provides the complete NPI Profile along with additional information for Holbrock Estates At The Martin De Porres Center Llc, a provider established in Baltimore, Maryland operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1093465577 assigned on March 2022. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Vernon Holmes Jr. (Ceo)

NPI
1093465577
Provider Name
HOLBROCK ESTATES AT THE MARTIN DE PORRES CENTER LLC
Entity Type
Organization
Location Address
908 VALLEY ST BALTIMORE, MD 21202
Location Phone
(443) 708-5056
Mailing Address
3310 EASTERN AVE BALTIMORE, MD 21224
Mailing Phone
(443) 708-5056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2022
Last Update Date
03-27-2022
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

VERNON HOLMES JR.

Authorized Official Title
CEO
Authorized Official Phone
(437) 085-0564

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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.
1093465577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201838610514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 8 + 6 + 1 + 0 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1093465577 is valid because the calculated check digit 7 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 1093465577, enumerated in the NPI registry as an "organization" on March 27, 2022

The provider is located at 908 Valley St Baltimore, Md 21202 and the phone number is (443) 708-5056

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

This NPI record was last updated on March 27, 2022. 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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