BROOKSIDE ADULT DAY HEALTH CARE, LLC
NPI 1639169915
Clinic/Center - Adult Day Care in Kansas City, MO

NPI Status: Active since October 26, 2005

Contact Information

400 W 57TH ST
KANSAS CITY, MO
ZIP 64113
Phone: (816) 926-9400
Fax: (816) 926-9300

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  • Organization
  • Clinic/Center
  • Adult Day Care

About BROOKSIDE ADULT DAY HEALTH CARE, LLC

This page provides the complete NPI Profile along with additional information for Brookside Adult Day Health Care, Llc, a provider established in Kansas City, Missouri operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1639169915 assigned on October 2005. The practitioner's primary taxonomy code is 261QA0600X with license number 617 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Christine Ruebel-marshall Msw (Executive Director)

NPI
1639169915
Provider Name
BROOKSIDE ADULT DAY HEALTH CARE, LLC
Entity Type
Organization
Location Address
400 W 57TH ST KANSAS CITY, MO 64113
Location Phone
(816) 926-9400
Location Fax
(816) 926-9300
Mailing Address
400 W 57TH ST KANSAS CITY, MO 64113
Mailing Phone
(816) 926-9400
Mailing Fax
(816) 926-9300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2005
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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License No.
617
License State
MO

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

MS. CHRISTINE RUEBEL-MARSHALL MSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(816) 926-9400

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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.
1639169915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669261892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 6 + 1 + 8 + 9 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1639169915 is valid because the calculated check digit 5 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 1639169915, enumerated in the NPI registry as an "organization" on October 26, 2005

The provider is located at 400 W 57th St Kansas City, Mo 64113 and the phone number is (816) 926-9400

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

This NPI record was last updated on October 26, 2005. 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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