JOHNSON HOME ASSISTED LIVING, INC.
NPI 1316302664
Assisted Living Facility - Assisted Living, Mental Illness in Pueblo, CO
NPI Status: Active since December 30, 2015
Contact Information
403 W 13TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 543-0305
Fax: (719) 562-9684
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About JOHNSON HOME ASSISTED LIVING, INC.
This page provides the complete NPI Profile along with additional information for Johnson Home Assisted Living, Inc., a provider established in Pueblo, Colorado operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1316302664 assigned on December 2015. The practitioner's primary taxonomy code is 3104A0625X with license number 230602 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Johnson Home Assisted Living, Inc.. The authorized official of this NPI record is Paul Spicola (Vice-president)
- NPI
- 1316302664
- Provider Legal Name
- VILLA GROVE ASSISTED LIVING
- Other Organization Name
- JOHNSON HOME ASSISTED LIVING, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 403 W 13TH ST PUEBLO, CO 81003
- Location Phone
- (719) 543-0305
- Location Fax
- (719) 562-9684
- Mailing Address
- 403 W 13TH ST PUEBLO, CO 81003
- Mailing Phone
- (719) 543-0305
- Mailing Fax
- (719) 562-9684
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-30-2015
- Last Update Date
- 12-30-2015
- Code Navigator
Location Map
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
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 230602
- License State
- CO
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26420554 | MEDICAID (05) | CO |
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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. | |||||||||
| 1 | 3 | 1 | 6 | 3 | 0 | 2 | 6 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 6 | 0 | 4 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 6 + 0 + 4 + 6 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1316302664 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447615968 | JOHNSON HOME ASSISTED LIVING, INC. Organization | Assisted Living Facility (Assisted Living, Mental Illness) | 403 W 13TH ST PUEBLO, CO 81003 (719) 543-0306 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316302664, enumerated in the NPI registry as an "organization" on December 30, 2015
The provider is located at 403 W 13th St Pueblo, Co 81003 and the phone number is (719) 543-0305
This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 30, 2015. 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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