JEFFERSON MANOR
NPI 1417340357
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cape Girardeau, MO

NPI Status: Active since March 17, 2015

Contact Information

902 JEFFERSON AVE
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 651-1373
Fax: (573) 651-1373

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About JEFFERSON MANOR

This page provides the complete NPI Profile along with additional information for Jefferson Manor, a provider established in Cape Girardeau, Missouri operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1417340357 assigned on March 2015. The practitioner's primary taxonomy code is 320600000X with license number 041432 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Sharon Louise Armour (Operator)

NPI
1417340357
Provider Name
JEFFERSON MANOR
Entity Type
Organization
Location Address
902 JEFFERSON AVE CAPE GIRARDEAU, MO 63703
Location Phone
(573) 651-1373
Location Fax
(573) 651-1373
Mailing Address
902 JEFFERSON AVE CAPE GIRARDEAU, MO 63703
Mailing Phone
(573) 651-1373
Mailing Fax
(573) 651-1373
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2015
Last Update Date
03-17-2015
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
041432
License State
MO
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. SHARON LOUISE ARMOUR

Authorized Official Title
OPERATOR
Authorized Official Phone
(573) 651-1373

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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.
1417340357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427640310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 6 + 4 + 0 + 3 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1417340357 is valid because the calculated check digit 7 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
1013410059JEFFERSON MANOR CAPE GIRARDEAU
Organization
Assisted Living Facility902 JEFFERSON AVE
CAPE GIRARDEAU, MO 63703
(573) 651-1373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417340357, enumerated in the NPI registry as an "organization" on March 17, 2015

The provider is located at 902 Jefferson Ave Cape Girardeau, Mo 63703 and the phone number is (573) 651-1373

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on March 17, 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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