FIDELIS ADULT HOME CARE SERVICES, LLC
NPI 1154162667
Custodial Care Facility - Adult Care Home in Spokane, WA

NPI Status: Active since June 06, 2024

Contact Information

2320 W ROCKWELL AVE
SPOKANE, WA
ZIP 99205
Phone: (509) 638-9401

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About FIDELIS ADULT HOME CARE SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Fidelis Adult Home Care Services, Llc, a provider established in Spokane, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1154162667 assigned on June 2024. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Nathaniel M Ballantyne (Ceo)

NPI
1154162667
Provider Name
FIDELIS ADULT HOME CARE SERVICES, LLC
Entity Type
Organization
Location Address
2320 W ROCKWELL AVE SPOKANE, WA 99205
Location Phone
(509) 638-9401
Mailing Address
6805 N BELT ST SPOKANE, WA 99208
Mailing Phone
(509) 638-9401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2024
Last Update Date
06-06-2024
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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
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.

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

NATHANIEL M BALLANTYNE

Authorized Official Title
CEO
Authorized Official Phone
(509) 850-7442

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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.
1154162667
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104264612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 6 + 4 + 6 + 1 + 2 + 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 1154162667 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 1154162667, enumerated in the NPI registry as an "organization" on June 06, 2024

The provider is located at 2320 W Rockwell Ave Spokane, Wa 99205 and the phone number is (509) 638-9401

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

This NPI record was last updated on June 06, 2024. 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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