DEERGRASS HEALTHCARE, INC.
NPI 1295448967
Skilled Nursing Facility in Lodi, CA

NPI Status: Active since December 27, 2022

Contact Information

950 S FAIRMONT AVE
LODI, CA
ZIP 95240
Phone: (209) 368-0693

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  • Organization
  • Skilled Nursing Facility

About DEERGRASS HEALTHCARE, INC.

This page provides the complete NPI Profile along with additional information for Deergrass Healthcare, Inc., a provider established in Lodi, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1295448967 assigned on December 2022. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Soon Burnam (Treasurer)

NPI
1295448967
Provider Name
DEERGRASS HEALTHCARE, INC.
Entity Type
Organization
Location Address
950 S FAIRMONT AVE LODI, CA 95240
Location Phone
(209) 368-0693
Mailing Address
950 S FAIRMONT AVE LODI, CA 95240
Mailing Phone
(209) 368-0693
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2022
Last Update Date
12-27-2022
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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
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

SOON BURNAM

Authorized Official Title
TREASURER
Authorized Official Phone
(949) 540-1249

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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.
1295448967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221858416912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 8 + 4 + 1 + 6 + 9 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1295448967 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
1942256391LODI SKILLED NURSING SERVICES, INC.
Organization
Skilled Nursing Facility950 S FAIRMONT AVE
LODI, CA 95240
(209) 368-0693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295448967, enumerated in the NPI registry as an "organization" on December 27, 2022

The provider is located at 950 S Fairmont Ave Lodi, Ca 95240 and the phone number is (209) 368-0693

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

This NPI record was last updated on December 27, 2022. 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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