MR. GERALD BRUCE JOHNSON SR.
NPI 1609443217
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wasilla, AK
NPI Status: Active since June 10, 2021
Contact Information
4092 W MARBLE WAY
WASILLA, AK
ZIP 99654
Phone: (907) 227-3524
- Individual
- Male
- Community Based Residential Treatment Fa...
About GERALD JOHNSON
This page provides the complete NPI Profile along with additional information for Gerald Johnson, a provider established in Wasilla, Alaska 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 1609443217 assigned on June 2021. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1609443217
- Provider Name
- MR. GERALD BRUCE JOHNSON SR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4092 W MARBLE WAY WASILLA, AK 99654
- Location Phone
- (907) 227-3524
- Mailing Address
- PO BOX 141296 ANCHORAGE, AK 99514
- Mailing Phone
- (907) 227-3524
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-10-2021
- Last Update Date
- 07-21-2021
- 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 State
- AK
- 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 |
|---|---|---|---|
| 1705395 | MEDICAID (05) | AK |
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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 | 6 | 0 | 9 | 4 | 4 | 3 | 2 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 8 | 4 | 6 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 8 + 4 + 6 + 2 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1609443217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558980706 | GENTLE HANDS CARE ASSISTED LIVING HOME LLC Organization | Community/Behavioral Health | 4092 W MARBLE WAY WASILLA, AK 99654 (907) 201-1985 |
| 1992378517 | GENTLE HANDS CARE Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 4092 W MARBLE WAY WASILLA, AK 99654 (907) 227-3524 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609443217, enumerated in the NPI registry as an "individual" on June 10, 2021
The provider is located at 4092 W Marble Way Wasilla, Ak 99654 and the phone number is (907) 227-3524
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 June 10, 2021. 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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