PROVIDENT
NPI 1316005473
Hospice Care, Community Based in Arnold, MO

NPI Status: Active since December 04, 2006

Contact Information

3675 W OUTER RD
203
ARNOLD, MO
ZIP 63010
Phone: (314) 898-0102
Fax: (636) 296-3249

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  • Organization
  • Hospice Care, Community Based

About PROVIDENT

This page provides the complete NPI Profile along with additional information for Provident, a provider established in Arnold, Missouri operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1316005473 assigned on December 2006. The practitioner's primary taxonomy code is 251G00000X with license number 002589 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Kristin Bulin Msw (Director Of Counseling Division)

NPI
1316005473
Provider Name
PROVIDENT
Entity Type
Organization
Location Address
3675 W OUTER RD 203 ARNOLD, MO 63010
Location Phone
(314) 898-0102
Location Fax
(636) 296-3249
Mailing Address
3675 W OUTER RD 203 ARNOLD, MO 63010
Mailing Phone
(314) 898-0102
Mailing Fax
(636) 296-3249
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
002589
License State
MO

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)

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. KRISTIN BULIN MSW

Authorized Official Title
DIRECTOR OF COUNSELING DIVISION
Authorized Official Phone
(314) 371-6500

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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.
1316005473
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23260010414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 0 + 1 + 0 + 4 + 1 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1316005473 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255409140MS. ANGELA CAROL COOK M.S.W., L.C.S.W.
Individual
Social Worker (Clinical)3675 W OUTER RD SUITE 203
ARNOLD, MO 63010
(314) 898-0102
1427231315PROVIDENT INC.
Organization
Social Worker (Clinical)3675 W OUTER RD
ARNOLD, MO 63010
(314) 898-0102
1609059468MR. KENNETH A BARRETT MSW
Individual
Social Worker (Clinical)3675 W OUTER RD SUITE 203
ARNOLD, MO 63010
(314) 898-0102
1891103289 MITCHELL DAVID URE LMSW
Individual
Social Worker (Clinical)3675 W OUTER RD STE 203
ARNOLD, MO 63010
(314) 371-6500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316005473, enumerated in the NPI registry as an "organization" on December 04, 2006

The provider is located at 3675 W Outer Rd 203 Arnold, Mo 63010 and the phone number is (314) 898-0102

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

This NPI record was last updated on December 04, 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].
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.