E C RIDER LLC
NPI 1164113742
Nursing Facility/Intermediate Care Facility in Johnson City, TN

NPI Status: Active since May 16, 2023

Contact Information

2815 STEVEN DR
JOHNSON CITY, TN
ZIP 37604
Phone: (979) 922-9800

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About E C RIDER LLC

This page provides the complete NPI Profile along with additional information for E C Rider Llc, a provider established in Johnson City, Tennessee operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1164113742 assigned on May 2023. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Mitchell Paul Rider Dpm (Podiatrist)

NPI
1164113742
Provider Name
E C RIDER LLC
Entity Type
Organization
Location Address
2815 STEVEN DR JOHNSON CITY, TN 37604
Location Phone
(979) 922-9800
Mailing Address
2815 STEVEN DR JOHNSON CITY, TN 37604
Mailing Phone
(979) 922-9800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2023
Last Update Date
05-16-2023
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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

DR. MITCHELL PAUL RIDER DPM

Authorized Official Title
PODIATRIST
Authorized Official Phone
(979) 922-9800

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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.
1164113742
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112421678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 2 + 1 + 6 + 7 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1164113742 is valid because the calculated check digit 2 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 1164113742, enumerated in the NPI registry as an "organization" on May 16, 2023

The provider is located at 2815 Steven Dr Johnson City, Tn 37604 and the phone number is (979) 922-9800

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on May 16, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.