PEACHTREE VILLAGE
NPI 1548683360
Assisted Living Facility in Brandon, MS

NPI Status: Active since January 30, 2014

Contact Information

6100 OLD BRANDON RD
BRANDON, MS
ZIP 39042
Phone: (601) 933-1100
Fax: (601) 933-1113

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  • Organization
  • Assisted Living Facility

About PEACHTREE VILLAGE

This page provides the complete NPI Profile along with additional information for Peachtree Village, a provider established in Brandon, Mississippi operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1548683360 assigned on January 2014. The practitioner's primary taxonomy code is 310400000X with license number 780 (MS). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Peachtree Village. The authorized official of this NPI record is Mr. Cameron D Goddard (Ar Manager)

NPI
1548683360
Provider Legal Name
SENTRY-BRANDON, INC.
Other Organization Name
PEACHTREE VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6100 OLD BRANDON RD BRANDON, MS 39042
Location Phone
(601) 933-1100
Location Fax
(601) 933-1113
Mailing Address
PO BOX 1499 BRANDON, MS 39043
Mailing Phone
(601) 824-9010
Mailing Fax
(601) 933-1113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2014
Last Update Date
01-30-2014
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
780
License State
MS
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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. CAMERON D GODDARD

Authorized Official Title
AR MANAGER
Authorized Official Phone
(601) 824-9010

Reviews for PEACHTREE VILLAGE

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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.
1548683360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881286312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 8 + 6 + 3 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1548683360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497056915 DENA SHAE OWENS PTA
Individual
Physical Therapy Assistant6100 OLD BRANDON RD
BRANDON, MS 39042
(601) 260-4605
1558664250EDEN REHAB LLC
Organization
Physical Therapy Assistant6100 OLD BRANDON RD
BRANDON, MS 39042
(601) 933-1100
1316228208 JENNIFER KRISTEN NATIONS PT
Individual
Physical Therapist6100 OLD BRANDON RD
BRANDON, MS 39042
(601) 933-1100
1972858561 ANNULET A DILLON RN
Individual
Registered Nurse6100 OLD BRANDON RD
BRANDON, MS 39042
(601) 260-4605
1760823728 KATHRYN NICOLE HAND PT
Individual
Physical Therapist6100 OLD BRANDON RD
BRANDON, MS 39042
(601) 260-4605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548683360, enumerated in the NPI registry as an "organization" on January 30, 2014

The provider is located at 6100 Old Brandon Rd Brandon, Ms 39042 and the phone number is (601) 933-1100

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on January 30, 2014. 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.