DR. INN T PARK M.D.
NPI 1588713853
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nevada, MO
NPI Status: Active since January 09, 2007
- Individual
- Male
- Community Based Residential Treatment Fa...
About INN PARK
This page provides the complete NPI Profile along with additional information for Inn Park, a provider established in Nevada, Missouri with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1588713853 assigned on January 2007. The practitioner's primary taxonomy code is 320900000X with license number R2A60 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1588713853
- Provider Name
- DR. INN T PARK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2323 N ASH ST NEVADA, MO 64772
- Location Phone
- (417) 667-7833
- Mailing Address
- RR 6 BOX 85 NEVADA, MO 64772
- Mailing Phone
- (417) 667-3010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-09-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- R2A60
- License State
- MO
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3755352 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
| C52094 | MEDICARE UPIN (02) | MO |
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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. | |||||||||
| 1 | 5 | 8 | 8 | 7 | 1 | 3 | 8 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 14 | 1 | 6 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 4 + 1 + 6 + 8 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1588713853 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013940469 | LEWIS SHILANE D.O. Individual | Family Medicine | 2323 N ASH ST NEVADA HABILITATION CENTER NEVADA, MO 64772 (417) 667-7833 |
| 1114971702 | STATE OF MISSOURI Organization | General Practice | 2323 N ASH ST NEVADA, MO 64772 (417) 667-7833 |
| 1811137516 | STATE OF MISSOURI Organization | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 2323 N ASH ST NEVADA, MO 64772 (417) 667-7833 |
| 1376614701 | STATE OF MISSOURI Organization | Intermediate Care Facility, Intellectual Disabilities | 2323 N ASH ST NEVADA, MO 64772 (417) 667-7833 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588713853, enumerated in the NPI registry as an "individual" on January 09, 2007
The provider is located at 2323 N Ash St Nevada, Mo 64772 and the phone number is (417) 667-7833
The provider's speciality is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 09, 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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