ASHLEY'S PLACE ADULT DAY CARE
NPI 1114276029
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salem, MO
NPI Status: Active since September 06, 2012
Contact Information
407 E 4TH ST
SALEM, MO
ZIP 65560
Phone: (573) 783-6256
Fax: (573) 783-8148
- Organization
- Community Based Residential Treatment Fa...
About ASHLEY'S PLACE ADULT DAY CARE
This page provides the complete NPI Profile along with additional information for Ashley's Place Adult Day Care, a provider established in Salem, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1114276029 assigned on September 2012. The practitioner's primary taxonomy code is 320900000X with license number 1008 (MO). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ashley's Place Adult Day Care. The authorized official of this NPI record is Mr. Warren Keith Reagan (Owner)
- NPI
- 1114276029
- Provider Legal Name
- COVENANT CARE SERVICES, LLC
- Other Organization Name
- ASHLEY'S PLACE ADULT DAY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 407 E 4TH ST SALEM, MO 65560
- Location Phone
- (573) 783-6256
- Location Fax
- (573) 783-8148
- Mailing Address
- PO BOX 110 FREDERICKTOWN, MO 63645
- Mailing Phone
- (573) 783-6256
- Mailing Fax
- (573) 783-8148
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-06-2012
- Last Update Date
- 09-10-2012
- Code Navigator
Location Map
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 Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 1008
- License State
- MO
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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) |
|---|---|---|---|---|
| 1 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | 1008 (MO) |
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.
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 |
|---|---|---|---|
| 1245370808 | MEDICAID (05) | MO | |
| 1326188996 | MEDICAID (05) | MO | |
| 1871823955 | MEDICAID (05) | MO | |
| 1487749537 | MEDICAID (05) | MO | |
| 1770623266 | MEDICAID (05) | MO |
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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. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 7 | 6 | 0 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 7 | 12 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 7 + 1 + 2 + 0 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114276029 is valid because the calculated check digit 9 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 1114276029, enumerated in the NPI registry as an "organization" on September 06, 2012
The provider is located at 407 E 4th St Salem, Mo 65560 and the phone number is (573) 783-6256
This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X
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 September 06, 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].
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