JOE CLARK RESIDENTIAL CARE HOME
NPI 1174717383
Assisted Living Facility in Nevada, MO
NPI Status: Active since August 30, 2007
Contact Information
1495 E ASHLAND ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-5000
Fax: (417) 667-5059
- Organization
- Assisted Living Facility
About JOE CLARK RESIDENTIAL CARE HOME
This page provides the complete NPI Profile along with additional information for Joe Clark Residential Care Home, a provider established in Nevada, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1174717383 assigned on August 2007. The practitioner's primary taxonomy code is 310400000X with license number 033970 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Joe Clark Residential Care Home. The authorized official of this NPI record is Mr. Barry Gene Clark Nursing Home Admin. (Admin./president)
- NPI
- 1174717383
- Provider Legal Name
- CLARK HEALTH CARE, INC.
- Other Organization Name
- JOE CLARK RESIDENTIAL CARE HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1495 E ASHLAND ST NEVADA, MO 64772
- Location Phone
- (417) 667-5000
- Location Fax
- (417) 667-5059
- Mailing Address
- 2000 S SPRING ST P.O. BOX E NEVADA, MO 64772
- Mailing Phone
- (417) 321-0033
- Mailing Fax
- (417) 667-5059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2007
- Last Update Date
- 08-30-2007
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 033970
- License State
- MO
- 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.
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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 | 7 | 4 | 7 | 1 | 7 | 3 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 1 | 14 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 1 + 1 + 4 + 3 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1174717383 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346531415 | BGC HEALTH CARE SERVICES, INC. Organization | Assisted Living Facility | 1495 E ASHLAND ST NEVADA, MO 64772 (417) 667-5000 |
| 1316369192 | KRC 1495 HEALTH CARE SERVICES LLC Organization | Assisted Living Facility | 1495 E ASHLAND ST NEVADA, MO 64772 (417) 667-5000 |
| 1730611583 | NEVADA HEALTH CARE SERVICES, INC. Organization | Assisted Living Facility | 1495 E ASHLAND ST NEVADA, MO 64772 (417) 667-5000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174717383, enumerated in the NPI registry as an "organization" on August 30, 2007
The provider is located at 1495 E Ashland St Nevada, Mo 64772 and the phone number is (417) 667-5000
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
This NPI record was last updated on August 30, 2007. 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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