EASTSIDE MANOR INC. DBA SOUTHERN OAKS
NPI 1205249927
Assisted Living Facility in Greenville, SC
NPI Status: Active since June 10, 2014
Contact Information
120 ROPER MOUNTAIN ROAD EXT
GREENVILLE, SC
ZIP 29615
Phone: (864) 288-3271
Fax: (864) 365-0697
- Organization
- Assisted Living Facility
About EASTSIDE MANOR INC. DBA SOUTHERN OAKS
This page provides the complete NPI Profile along with additional information for Eastside Manor Inc. Dba Southern Oaks, a provider established in Greenville, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205249927 assigned on June 2014. The practitioner's primary taxonomy code is 310400000X with license number CRC0611 (SC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Gail Roberta Boudreau (Executive Director)
- NPI
- 1205249927
- Provider Name
- EASTSIDE MANOR INC. DBA SOUTHERN OAKS
- Entity Type
- Organization
- Location Address
- 120 ROPER MOUNTAIN ROAD EXT GREENVILLE, SC 29615
- Location Phone
- (864) 288-3271
- Location Fax
- (864) 365-0697
- Mailing Address
- 120 ROPER MOUNTAIN ROAD EXT GREENVILLE, SC 29615
- Mailing Phone
- (864) 288-3271
- Mailing Fax
- (864) 365-0697
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2014
- Last Update Date
- 06-10-2014
- 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.
- CRC0611
- License State
- SC
- 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 | 2 | 0 | 5 | 2 | 4 | 9 | 9 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 4 | 4 | 18 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 4 + 4 + 1 + 8 + 9 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1205249927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558060053 | LANDMARK RECOVERY OF COLUMBIA LLC Organization | Substance Abuse Rehabilitation Facility | 120 ROPER MOUNTAIN ROAD EXT GREENVILLE, SC 29615 (855) 950-5035 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205249927, enumerated in the NPI registry as an "organization" on June 10, 2014
The provider is located at 120 Roper Mountain Road Ext Greenville, Sc 29615 and the phone number is (864) 288-3271
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
This NPI record was last updated on June 10, 2014. 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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