MAGNOLIA
NPI 1629128970
Custodial Care Facility - Adult Care Home in Hannibal, MO

NPI Status: Active since January 11, 2007

Contact Information

2518 PLEASANT ST
HANNIBAL, MO
ZIP 63401
Phone: (573) 221-2258

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About MAGNOLIA

This page provides the complete NPI Profile along with additional information for Magnolia, a provider established in Hannibal, Missouri operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1629128970 assigned on January 2007. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Magnolia. The authorized official of this NPI record is Mr. Paul Ewert (Chief Executive Officer)

NPI
1629128970
Provider Legal Name
BETH HAVEN GROUP HOMES INC
Other Organization Name
MAGNOLIA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2518 PLEASANT ST HANNIBAL, MO 63401
Location Phone
(573) 221-2258
Mailing Address
2500 PLEASANT ST HANNIBAL, MO 63401
Mailing Phone
(573) 221-2258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2007
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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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. PAUL EWERT

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(573) 221-2258

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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.
1629128970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26492216914
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 + 6 + 9 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629128970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629128970, enumerated in the NPI registry as an "organization" on January 11, 2007

The provider is located at 2518 Pleasant St Hannibal, Mo 63401 and the phone number is (573) 221-2258

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on January 11, 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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