MARCOUX WAIVER HOME
NPI 1174734586
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eagle Lake, ME

NPI Status: Active since May 25, 2007

Contact Information

36 MAKAYLA DR
EAGLE LAKE, ME
ZIP 04739
Phone: (207) 444-5152
Fax: (207) 444-6099

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About MARCOUX WAIVER HOME

This page provides the complete NPI Profile along with additional information for Marcoux Waiver Home, a provider established in Eagle Lake, Maine operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1174734586 assigned on May 2007. The practitioner's primary taxonomy code is 320600000X with license number ALLS 2221 (ME). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Marcoux Waiver Home. The authorized official of this NPI record is Reynold Raymond (Chief Executive Officer)

NPI
1174734586
Provider Legal Name
NORTHERN MAINE GENERAL
Other Organization Name
MARCOUX WAIVER HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
36 MAKAYLA DR EAGLE LAKE, ME 04739
Location Phone
(207) 444-5152
Location Fax
(207) 444-6099
Mailing Address
PO BOX 310 EAGLE LAKE, ME 04739
Mailing Phone
(207) 444-5152
Mailing Fax
(207) 444-6099
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2007
Last Update Date
08-22-2020
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
ALLS 2221
License State
ME
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

REYNOLD RAYMOND

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(207) 444-5152

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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.
1174734586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441438516
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 + 3 + 8 + 5 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1174734586 is valid because the calculated check digit 6 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 1174734586, enumerated in the NPI registry as an "organization" on May 25, 2007

The provider is located at 36 Makayla Dr Eagle Lake, Me 04739 and the phone number is (207) 444-5152

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on May 25, 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].
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.