EXTENDED LIFE LLC
NPI 1104315761
Community/Behavioral Health in Las Vegas, NV

NPI Status: Active since May 08, 2018

Contact Information

2850 CEDAR AVE APT 171
LAS VEGAS, NV
ZIP 89101
Phone: (702) 351-8288

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  • Organization
  • Community/Behavioral Health

About EXTENDED LIFE LLC

This page provides the complete NPI Profile along with additional information for Extended Life Llc, a provider established in Las Vegas, Nevada operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104315761 assigned on May 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Extended Life Llc. The authorized official of this NPI record is Ashlee Brown (Manager)

NPI
1104315761
Provider Legal Name
EXTENDED LIFE LLC
Other Organization Name
EXTENDED LIFE LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2850 CEDAR AVE APT 171 LAS VEGAS, NV 89101
Location Phone
(702) 351-8288
Mailing Address
2850 CEDAR AVE APT 171 LAS VEGAS, NV 89101
Mailing Phone
(702) 351-8288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2018
Last Update Date
06-16-2018
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

ASHLEE BROWN

Authorized Official Title
MANAGER
Authorized Official Phone
(702) 351-8288

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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.
1104315761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21046110712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 1 + 1 + 0 + 7 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104315761 is valid because the calculated check digit 1 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 1104315761, enumerated in the NPI registry as an "organization" on May 08, 2018

The provider is located at 2850 Cedar Ave Apt 171 Las Vegas, Nv 89101 and the phone number is (702) 351-8288

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on May 08, 2018. 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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