VICTORIAN MANOR OF WASHINGTON MEMORY CARE
NPI 1215202965
Assisted Living Facility in Owensville, MO

NPI Status: Active since March 14, 2012

Contact Information

1015 SPRINGFIELD RD
OWENSVILLE, MO
ZIP 65066
Phone: (573) 437-2103
Fax: (573) 437-2219

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  • Organization
  • Assisted Living Facility

About VICTORIAN MANOR OF WASHINGTON MEMORY CARE

This page provides the complete NPI Profile along with additional information for Victorian Manor Of Washington Memory Care, a provider established in Owensville, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1215202965 assigned on March 2012. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Victorian Manor Of Washington Memory Care. The authorized official of this NPI record is Nancy Quick (Secretary)

NPI
1215202965
Provider Legal Name
VICTORIAN MANOR OF WASHINGTON MEMORY CARE INC.
Other Organization Name
VICTORIAN MANOR OF WASHINGTON MEMORY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1015 SPRINGFIELD RD OWENSVILLE, MO 65066
Location Phone
(573) 437-2103
Location Fax
(573) 437-2219
Mailing Address
2701 RABBIT TRAIL DRIVE WASHINGTON, MO 63090
Mailing Phone
(636) 390-0011
Mailing Fax
(573) 437-2219
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2012
Last Update Date
03-14-2012
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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 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.

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

NANCY QUICK

Authorized Official Title
SECRETARY
Authorized Official Phone
(573) 437-2103

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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.
1215202965
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225404912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 0 + 4 + 9 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1215202965 is valid because the calculated check digit 5 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 1215202965, enumerated in the NPI registry as an "organization" on March 14, 2012

The provider is located at 1015 Springfield Rd Owensville, Mo 65066 and the phone number is (573) 437-2103

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

This NPI record was last updated on March 14, 2012. 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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