FAIR BLUFF ASSISTED LIVING #2
NPI 1437298924
Custodial Care Facility - Adult Care Home in Fair Bluff, NC

NPI Status: Active since February 05, 2007

Contact Information

42 HORNE STREET
FAIR BLUFF, NC
ZIP 28439
Phone: (910) 754-6621

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About FAIR BLUFF ASSISTED LIVING #2

This page provides the complete NPI Profile along with additional information for Fair Bluff Assisted Living #2, a provider established in Fair Bluff, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1437298924 assigned on February 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL-024-006 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fair Bluff Assisted Living #2. The authorized official of this NPI record is Mr. David B Goldston Iii (Manager)

NPI
1437298924
Provider Legal Name
DBG III LLC
Other Organization Name
FAIR BLUFF ASSISTED LIVING #2
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
42 HORNE STREET FAIR BLUFF, NC 28439
Location Phone
(910) 754-6621
Mailing Address
PO BOX 1559 SHALLOTTE, NC 28459
Mailing Phone
(910) 754-6621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2007
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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL-024-006
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.

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

MR. DAVID B GOLDSTON III

Authorized Official Title
MANAGER
Authorized Official Phone
(910) 754-6621

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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.
1437298924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467491694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 4 + 9 + 1 + 6 + 9 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1437298924 is valid because the calculated check digit 4 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 1437298924, enumerated in the NPI registry as an "organization" on February 05, 2007

The provider is located at 42 Horne Street Fair Bluff, Nc 28439 and the phone number is (910) 754-6621

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 February 05, 2007. 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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