SERENITY STREAMS
NPI 1154790244
Assisted Living Facility in Mesquite, TX

NPI Status: Active since September 18, 2015

Contact Information

1004 KORY DR
MESQUITE, TX
ZIP 75149
Phone: (214) 660-6484

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  • Organization
  • Assisted Living Facility

About SERENITY STREAMS

This page provides the complete NPI Profile along with additional information for Serenity Streams, a provider established in Mesquite, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1154790244 assigned on September 2015. The practitioner's primary taxonomy code is 310400000X with license number 3205826621 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Quinton Dreyfuss Middleton (Director)

NPI
1154790244
Provider Name
SERENITY STREAMS
Entity Type
Organization
Location Address
1004 KORY DR MESQUITE, TX 75149
Location Phone
(214) 660-6484
Mailing Address
1004 KORY DR MESQUITE, TX 75149
Mailing Phone
(214) 660-6484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2015
Last Update Date
09-18-2015
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
3205826621
License State
TX
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

QUINTON DREYFUSS MIDDLETON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(214) 660-6484

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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.
1154790244
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104149028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 9 + 0 + 2 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1154790244 is valid because the calculated check digit 4 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 1154790244, enumerated in the NPI registry as an "organization" on September 18, 2015

The provider is located at 1004 Kory Dr Mesquite, Tx 75149 and the phone number is (214) 660-6484

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on September 18, 2015. 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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