ANTHONY JOHN STARK LPTA
NPI 1306119102
Skilled Nursing Facility in Swansea, IL

NPI Status: Active since February 10, 2012

Contact Information

3751 ROUND HILL RD
APT 5
SWANSEA, IL
ZIP 62226
Phone: (469) 939-6867

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  • Individual
  • Male
  • Skilled Nursing Facility

About ANTHONY STARK

This page provides the complete NPI Profile along with additional information for Anthony Stark, a provider established in Swansea, Illinois with a medical specialization in Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1306119102 assigned on February 2012. The practitioner's primary taxonomy code is 314000000X with license number 2067563 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1306119102
Provider Name
ANTHONY JOHN STARK LPTA
Gender
Male
Entity Type
Individual
Location Address
3751 ROUND HILL RD APT 5 SWANSEA, IL 62226
Location Phone
(469) 939-6867
Mailing Address
3751 ROUND HILL RD APT 5 SWANSEA, IL 62226
Mailing Phone
(469) 939-6867
Is Sole Proprietor?
Yes
Enumeration Date
02-10-2012
Last Update Date
02-14-2025
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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.
2067563
License State
TX
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapy Assistant

2067563 (TX)
2310400000XNursing & Custodial Care Facilities

Assisted Living Facility

160.005649 (IL)

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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.
1306119102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306211810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 2 + 1 + 1 + 8 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1306119102 is valid because the calculated check digit 2 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 1306119102, enumerated in the NPI registry as an "individual" on February 10, 2012

The provider is located at 3751 Round Hill Rd Apt 5 Swansea, Il 62226 and the phone number is (469) 939-6867

The provider's speciality is Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on February 10, 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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