SHALLOM MANOR RETIREMENT
NPI 1649404476
Assisted Living Facility in Lauderhill, FL

NPI Status: Active since May 07, 2009

Contact Information

2771 NW 58TH TER
LAUDERHILL, FL
ZIP 33313
Phone: (954) 485-0901
Fax: (954) 717-2867

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  • Organization
  • Assisted Living Facility

About SHALLOM MANOR RETIREMENT

This page provides the complete NPI Profile along with additional information for Shallom Manor Retirement, a provider established in Lauderhill, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649404476 assigned on May 2009. The practitioner's primary taxonomy code is 310400000X with license number AL5167 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Emmins H Henry (President)

NPI
1649404476
Provider Name
SHALLOM MANOR RETIREMENT
Entity Type
Organization
Location Address
2771 NW 58TH TER LAUDERHILL, FL 33313
Location Phone
(954) 485-0901
Location Fax
(954) 717-2867
Mailing Address
2771 NW 58TH TER LAUDERHILL, FL 33313
Mailing Phone
(954) 485-0901
Mailing Fax
(954) 717-2867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2009
Last Update Date
05-07-2009
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL5167
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

EMMINS H HENRY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 485-0901

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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.
1649404476
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689808414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 0 + 8 + 4 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1649404476 is valid because the calculated check digit 6 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 1649404476, enumerated in the NPI registry as an "organization" on May 07, 2009

The provider is located at 2771 Nw 58th Ter Lauderhill, Fl 33313 and the phone number is (954) 485-0901

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on May 07, 2009. 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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