PRESBYTERIAN HOME OF REDSTONE PRESBYTERY
NPI 1275649634
Nursing Facility/Intermediate Care Facility in Johnstown, PA

NPI Status: Active since August 21, 2006

Contact Information

787 GOUCHER ST
JOHNSTOWN, PA
ZIP 15905
Phone: (814) 255-5539
Fax: (814) 254-1809

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About PRESBYTERIAN HOME OF REDSTONE PRESBYTERY

This page provides the complete NPI Profile along with additional information for Presbyterian Home Of Redstone Presbytery, a provider established in Johnstown, Pennsylvania operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1275649634 assigned on August 2006. The practitioner's primary taxonomy code is 313M00000X with license number 680102 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Timothy John Reeves Pca (Administrator)

NPI
1275649634
Provider Name
PRESBYTERIAN HOME OF REDSTONE PRESBYTERY
Entity Type
Organization
Location Address
787 GOUCHER ST JOHNSTOWN, PA 15905
Location Phone
(814) 255-5539
Location Fax
(814) 254-1809
Mailing Address
787 GOUCHER ST JOHNSTOWN, PA 15905
Mailing Phone
(814) 255-5539
Mailing Fax
(814) 254-1809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2006
Last Update Date
08-08-2011
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
680102
License State
PA
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

MR. TIMOTHY JOHN REEVES PCA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(814) 255-5539

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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.
1275649634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451241866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 8 + 6 + 6 + 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 1275649634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003061961MR. JOHN QUINN TREMEL PT
Individual
Physical Therapist787 GOUCHER ST
JOHNSTOWN, PA 15905
(814) 255-2588
1942525795MRS. REBECCA JO DLUHOS M.S.CCC-SLP
Individual
Speech-Language Pathologist787 GOUCHER ST
JOHNSTOWN, PA 15905
(814) 255-5539
1124305446 RHIANA BODENSCHATZ OTR
Individual
Occupational Therapist787 GOUCHER ST
JOHNSTOWN, PA 15905
(814) 506-8212
1699147603WESTMONT WOODS, LP
Organization
Skilled Nursing Facility787 GOUCHER ST
JOHNSTOWN, PA 15905
(814) 255-5539
1194590893QUALITY LIFE SERVICES - WESTMONT, LLC
Organization
Skilled Nursing Facility787 GOUCHER ST
JOHNSTOWN, PA 15905
(814) 255-5539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275649634, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 787 Goucher St Johnstown, Pa 15905 and the phone number is (814) 255-5539

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on August 21, 2006. 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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