MED GROUP HOME HEALTH CARE AGENCY
NPI 1609147958
Home Health in Mequon, WI

NPI Status: Active since January 18, 2012

Contact Information

11402 N PORT WASHINGTON RD
SUITE 214 B
MEQUON, WI
ZIP 53092
Phone: (414) 755-2009
Fax: (414) 755-1767

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  • Organization
  • Home Health

About MED GROUP HOME HEALTH CARE AGENCY

This page provides the complete NPI Profile along with additional information for Med Group Home Health Care Agency, a provider established in Mequon, Wisconsin operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1609147958 assigned on January 2012. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dariko Mekvabishvili (President)

NPI
1609147958
Provider Name
MED GROUP HOME HEALTH CARE AGENCY
Entity Type
Organization
Location Address
11402 N PORT WASHINGTON RD SUITE 214 B MEQUON, WI 53092
Location Phone
(414) 755-2009
Location Fax
(414) 755-1767
Mailing Address
2111 N DR MARTIN LUTHER KING DR MILWAUKEE, WI 53212
Mailing Phone
(414) 755-2103
Mailing Fax
(414) 755-1767
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2012
Last Update Date
09-25-2014
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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

DARIKO MEKVABISHVILI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 745-3146

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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.
1609147958
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26092414910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 4 + 1 + 4 + 9 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1609147958 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952445140DR. JOHN HENRY ETZWEILER D.C.
Individual
Chiropractor11402 N PORT WASHINGTON RD SUITE 105
MEQUON, WI 53092
(262) 241-4647
1346528791MED GROUP MEDICAL SUPPLIES, LLC
Organization
Durable Medical Equipment & Medical Supplies11402 N PORT WASHINGTON RD SUITE 215
MEQUON, WI 53092
(414) 745-3146
1285165126 KATIE LYNN SOJA DPT
Individual
Physical Therapist11402 N PORT WASHINGTON RD
MEQUON, WI 53092
(262) 306-6319

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609147958, enumerated in the NPI registry as an "organization" on January 18, 2012

The provider is located at 11402 N Port Washington Rd Suite 214 B Mequon, Wi 53092 and the phone number is (414) 755-2009

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on January 18, 2012. 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.