IMMACULA ELDERLY CARE SERVICES INC
NPI 1487040390
Clinic/Center - Adult Day Care in Medford, MA

NPI Status: Active since April 08, 2015

Contact Information

55 OTIS ST
MEDFORD, MA
ZIP 02155
Phone: (857) 266-5345

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  • Organization
  • Clinic/Center
  • Adult Day Care

About IMMACULA ELDERLY CARE SERVICES INC

This page provides the complete NPI Profile along with additional information for Immacula Elderly Care Services Inc, a provider established in Medford, Massachusetts operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1487040390 assigned on April 2015. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Ronald Pierre (Pastor)

NPI
1487040390
Provider Name
IMMACULA ELDERLY CARE SERVICES INC
Entity Type
Organization
Location Address
55 OTIS ST MEDFORD, MA 02155
Location Phone
(857) 266-5345
Mailing Address
26 COLUMBIA RD MEDFORD, MA 02155
Mailing Phone
(857) 266-5345
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-08-2015
Last Update Date
07-21-2022
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License State
MA

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. RONALD PIERRE

Authorized Official Title
PASTOR
Authorized Official Phone
(781) 391-1002

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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.
1487040390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167040318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 4 + 0 + 3 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1487040390 is valid because the calculated check digit 0 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 1487040390, enumerated in the NPI registry as an "organization" on April 08, 2015

The provider is located at 55 Otis St Medford, Ma 02155 and the phone number is (857) 266-5345

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

This NPI record was last updated on April 08, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.