MICHAEL MANOR
NPI 1255332383
Skilled Nursing Facility in Douglas, WY

NPI Status: Active since August 10, 2005

Contact Information

1108 BIRCH ST
DOUGLAS, WY
ZIP 82633
Phone: (307) 358-3397

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  • Organization
  • Skilled Nursing Facility

About MICHAEL MANOR

This page provides the complete NPI Profile along with additional information for Michael Manor, a provider established in Douglas, Wyoming operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1255332383 assigned on August 2005. The practitioner's primary taxonomy code is 314000000X with license number 06-116 (WY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Michael Manor. The authorized official of this NPI record is Mrs. Beverly J Wilson Rn (Administrator/owner)

NPI
1255332383
Provider Legal Name
KIMBERLY HEALTH SYSTEMS
Other Organization Name
MICHAEL MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1108 BIRCH ST DOUGLAS, WY 82633
Location Phone
(307) 358-3397
Mailing Address
1108 BIRCH ST DOUGLAS, WY 82633
Mailing Phone
(307) 358-3397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2005
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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
06-116
License State
WY
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

MRS. BEVERLY J WILSON RN

Authorized Official Title
ADMINISTRATOR/OWNER
Authorized Official Phone
(307) 358-3397

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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.
1255332383
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105634316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 3 + 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 = 33

The NPI number 1255332383 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
1306965165DOUGLAS CARE CENTER, LLC
Organization
Skilled Nursing Facility1108 BIRCH ST
DOUGLAS, WY 82633
(307) 358-3397
1528441029LARAMIE PEAK THERAPIES, LLC
Organization
Clinic/Center (Physical Therapy)1108 BIRCH ST
DOUGLAS, WY 82633
(406) 655-1883
1285523639NORTH BIG HORN HOSPITAL DISTRICT
Organization
Skilled Nursing Facility1108 BIRCH ST
DOUGLAS, WY 82633
(307) 358-3397

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255332383, enumerated in the NPI registry as an "organization" on August 10, 2005

The provider is located at 1108 Birch St Douglas, Wy 82633 and the phone number is (307) 358-3397

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on August 10, 2005. 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.