DONALD ALFRED WOODRUFF III
NPI 1104527597
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bedford Hts, OH

NPI Status: Active since March 13, 2023

Contact Information

5371 HOLLY RD
BEDFORD HTS, OH
ZIP 44146
Phone: (216) 532-4811

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  • Individual
  • Male
  • Residential Treatment Facility, Intellec...

About DONALD WOODRUFF

This page provides the complete NPI Profile along with additional information for Donald Woodruff, a provider established in Bedford Hts, Ohio with a medical specialization in Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104527597 assigned on March 2023. The practitioner's primary taxonomy code is 320600000X with license number 1828117 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1104527597
Provider Name
DONALD ALFRED WOODRUFF III
Gender
Male
Entity Type
Individual
Location Address
5371 HOLLY RD BEDFORD HTS, OH 44146
Location Phone
(216) 532-4811
Mailing Address
5371 HOLLY RD BEDFORD HTS, OH 44146
Mailing Phone
(216) 532-4811
Is Sole Proprietor?
Yes
Enumeration Date
03-13-2023
Last Update Date
03-13-2023
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
1828117
License State
OH
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253Z00000XAgencies

In Home Supportive Care

1848112 (OH)

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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.
1104527597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210410214518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 0 + 2 + 1 + 4 + 5 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1104527597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497468136 ERICKA GOSA
Individual
In Home Supportive Care5371 HOLLY RD
BEDFORD, OH 44146
(216) 849-1858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104527597, enumerated in the NPI registry as an "individual" on March 13, 2023

The provider is located at 5371 Holly Rd Bedford Hts, Oh 44146 and the phone number is (216) 532-4811

The provider's speciality is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on March 13, 2023. 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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