PARK PLACE RCF PMI
NPI 1629126776
Community Based Residential Treatment Facility, Mental Illness in Atlantic, IA

NPI Status: Active since January 08, 2007

Contact Information

1307 SUNNYSIDE LN
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-1213
Fax: (712) 243-4675

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About PARK PLACE RCF PMI

This page provides the complete NPI Profile along with additional information for Park Place Rcf Pmi, a provider established in Atlantic, Iowa operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1629126776 assigned on January 2007. The practitioner's primary taxonomy code is 320800000X with license number RPMI 655 (IA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Park Place Rcf Pmi. The authorized official of this NPI record is Mr. Charles A Smith (Administrator)

NPI
1629126776
Provider Legal Name
SUNSHINE HOMES INC
Other Organization Name
PARK PLACE RCF PMI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1307 SUNNYSIDE LN ATLANTIC, IA 50022
Location Phone
(712) 243-1213
Location Fax
(712) 243-4675
Mailing Address
1307 SUNNYSIDE LN ATLANTIC, IA 50022
Mailing Phone
(712) 243-1213
Mailing Fax
(712) 243-4675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
08-22-2020
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
RPMI 655
License State
IA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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.

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. CHARLES A SMITH

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(712) 243-1213

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
0895227OTHER (01)IASTATE SUPPLEMENTAL ASSIST

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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.
1629126776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26492212714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 1 + 2 + 7 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1629126776 is valid because the calculated check digit 6 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
1437210903SUNSHINE HOMES, INC
Organization
Community Based Residential Treatment Facility, Mental Illness1307 SUNNYSIDE LN
ATLANTIC, IA 50022
(712) 243-1213
1205998721SUNSHINE HOMES, INC
Organization
Community Based Residential Treatment Facility, Mental Illness1307 SUNNYSIDE LN
ATLANTIC, IA 50022
(712) 243-1213
1245435809SUNSHINE HOMES INC
Organization
Day Training, Developmentally Disabled Services1307 SUNNYSIDE LN
ATLANTIC, IA 50022
(712) 243-1213
1154526713SUNSHINE HOMES INC
Organization
Community Based Residential Treatment Facility, Mental Illness1307 SUNNYSIDE LN
ATLANTIC, IA 50022
(712) 243-1213
1093883431MS. DEBORRA MARIE SMITH LISW
Individual
Social Worker (Clinical)1307 SUNNYSIDE LN
ATLANTIC, IA 50022
(712) 243-1213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629126776, enumerated in the NPI registry as an "organization" on January 08, 2007

The provider is located at 1307 Sunnyside Ln Atlantic, Ia 50022 and the phone number is (712) 243-1213

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

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 08, 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].
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.