PARK PLACE GROUP HOME
NPI 1245376524
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tarkio, MO

NPI Status: Active since January 30, 2007

Contact Information

412 N 7TH ST
TARKIO, MO
ZIP 64491
Phone: (660) 736-5523
Fax: (660) 736-4884

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About PARK PLACE GROUP HOME

This page provides the complete NPI Profile along with additional information for Park Place Group Home, a provider established in Tarkio, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1245376524 assigned on January 2007. The practitioner's primary taxonomy code is 320900000X with license number MW 011034 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Park Place Group Home. The authorized official of this NPI record is Nicki G. Samson (Executive Director)

NPI
1245376524
Provider Legal Name
NORTHWEST MISSOURI LEARNING CENTER, INC.
Other Organization Name
PARK PLACE GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
412 N 7TH ST TARKIO, MO 64491
Location Phone
(660) 736-5523
Location Fax
(660) 736-4884
Mailing Address
302 MAPLE ST TARKIO, MO 64491
Mailing Phone
(660) 736-5523
Mailing Fax
(660) 736-4884
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
MW 011034
License State
MO
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

NICKI G. SAMSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(660) 736-5523

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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.
1245376524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285671254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 7 + 1 + 2 + 5 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1245376524 is valid because the calculated check digit 4 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 1245376524, enumerated in the NPI registry as an "organization" on January 30, 2007

The provider is located at 412 N 7th St Tarkio, Mo 64491 and the phone number is (660) 736-5523

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on January 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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