LILLIAN BROTHERS FAMILY CARE HOME LLC
NPI 1417229113
Custodial Care Facility - Adult Care Home in Hertford, NC

NPI Status: Active since January 27, 2012

Contact Information

533 WEIGHT STATION RD
HERTFORD, NC
ZIP 27944
Phone: (252) 264-3185

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About LILLIAN BROTHERS FAMILY CARE HOME LLC

This page provides the complete NPI Profile along with additional information for Lillian Brothers Family Care Home Llc, a provider established in Hertford, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1417229113 assigned on January 2012. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL-072-009 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Bernadine Smith Mpa (Administrator)

NPI
1417229113
Provider Name
LILLIAN BROTHERS FAMILY CARE HOME LLC
Entity Type
Organization
Location Address
533 WEIGHT STATION RD HERTFORD, NC 27944
Location Phone
(252) 264-3185
Mailing Address
533 WEIGHT STATION RD HERTFORD, NC 27944
Mailing Phone
(252) 264-3185
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2012
Last Update Date
01-27-2012
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL-072-009
License State
NC
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

FCL-072-009 (NC)

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

MS. BERNADINE SMITH MPA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(757) 310-1430

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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.
1417229113
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427421812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 4 + 2 + 1 + 8 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1417229113 is valid because the calculated check digit 3 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 1417229113, enumerated in the NPI registry as an "organization" on January 27, 2012

The provider is located at 533 Weight Station Rd Hertford, Nc 27944 and the phone number is (252) 264-3185

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on January 27, 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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