111HOME PERSONAL CARE AGENCY
NPI 1376816702
In Home Supportive Care in Elkhart, IN

NPI Status: Active since February 15, 2012

Contact Information

336 W GARFIELD AVE
ELKHART, IN
ZIP 46516
Phone: (574) 350-9831
Fax: (574) 293-7947

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  • Organization
  • In Home Supportive Care

About 111HOME PERSONAL CARE AGENCY

This page provides the complete NPI Profile along with additional information for 111home Personal Care Agency, a provider established in Elkhart, Indiana operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1376816702 assigned on February 2012. The practitioner's primary taxonomy code is 253Z00000X with license number 11-012725-1 (IN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as 111home Personal Care Agency. The authorized official of this NPI record is Mrs. Lavern I Suggs Ceo (Ceo)

NPI
1376816702
Provider Legal Name
111HOME HEALTH CARE AGENCY
Other Organization Name
111HOME PERSONAL CARE AGENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
336 W GARFIELD AVE ELKHART, IN 46516
Location Phone
(574) 350-9831
Location Fax
(574) 293-7947
Mailing Address
336 W GARFIELD AVE ELKHART, IN 46516
Mailing Phone
(574) 350-9831
Mailing Fax
(574) 293-7947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2012
Last Update Date
02-15-2012
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
11-012725-1
License State
IN
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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. LAVERN I SUGGS CEO

Authorized Official Title
CEO
Authorized Official Phone
(574) 350-9831

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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.
1376816702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461611270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 6 + 1 + 1 + 2 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1376816702 is valid because the calculated check digit 2 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
1245558808111 HOME HEALTH CARE AGENCY
Organization
Home Health336 W GARFIELD AVE
ELKHART, IN 46516
(574) 293-6682

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376816702, enumerated in the NPI registry as an "organization" on February 15, 2012

The provider is located at 336 W Garfield Ave Elkhart, In 46516 and the phone number is (574) 350-9831

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

This NPI record was last updated on February 15, 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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