JACKSON HOME HEALTH
NPI 1578948055
Residential Treatment Facility, Physical Disabilities in Monroe, LA

NPI Status: Active since July 24, 2015

Contact Information

111 PECAN LAKE ESTATE RD
MONROE, LA
ZIP 71203
Phone: (318) 789-4272

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  • Residential Treatment Facility, Physical...

About JACKSON HOME HEALTH

This page provides the complete NPI Profile along with additional information for Jackson Home Health, a provider established in Monroe, Louisiana operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1578948055 assigned on July 2015. The practitioner's primary taxonomy code is 320700000X. 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 Shontia Latoyia Gray (Owner/manager)

NPI
1578948055
Provider Name
JACKSON HOME HEALTH
Entity Type
Organization
Location Address
111 PECAN LAKE ESTATE RD MONROE, LA 71203
Location Phone
(318) 789-4272
Mailing Address
111 PECAN LAKE ESTATE RD MONROE, LA 71203
Mailing Phone
(318) 789-4272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2015
Last Update Date
09-12-2015
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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, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License State
LA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical 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

SHONTIA LATOYIA GRAY

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(318) 789-4272

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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.
1578948055
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514818416010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 4 + 1 + 6 + 0 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1578948055 is valid because the calculated check digit 5 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
1861840910S&R NON EMERGENCY MEDICAL TRANSPORTATION
Organization
Non-emergency Medical Transport (VAN)111 PECAN LAKE ESTATE RD
MONROE, LA 71203
(318) 789-4272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578948055, enumerated in the NPI registry as an "organization" on July 24, 2015

The provider is located at 111 Pecan Lake Estate Rd Monroe, La 71203 and the phone number is (318) 789-4272

This medical organization specializes in Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X

This NPI record was last updated on July 24, 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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