KEOKUK AREA GROUP HOME
NPI 1679779490
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Keokuk, IA

NPI Status: Active since June 27, 2007

Contact Information

317 HIGH ST
KEOKUK, IA
ZIP 52632
Phone: (319) 524-1871

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About KEOKUK AREA GROUP HOME

This page provides the complete NPI Profile along with additional information for Keokuk Area Group Home, a provider established in Keokuk, Iowa operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1679779490 assigned on June 2007. The practitioner's primary taxonomy code is 320600000X with license number 56-0091 (IA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Cevin T Coffield (Administrator)

NPI
1679779490
Provider Name
KEOKUK AREA GROUP HOME
Entity Type
Organization
Location Address
317 HIGH ST KEOKUK, IA 52632
Location Phone
(319) 524-1871
Mailing Address
317 HIGH ST KEOKUK, IA 52632
Mailing Phone
(319) 524-1871
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2007
Last Update Date
05-28-2013
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
56-0091
License State
IA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

56-0091 (IA)

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. CEVIN T COFFIELD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(319) 524-1871

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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.
1679779490
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614914718418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 7 + 1 + 8 + 4 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1679779490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790842615KEOKUK AREA GROUP HOME
Organization
Custodial Care Facility (Adult Care Home)317 HIGH ST
KEOKUK, IA 52632
(319) 524-1871

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679779490, enumerated in the NPI registry as an "organization" on June 27, 2007

The provider is located at 317 High St Keokuk, Ia 52632 and the phone number is (319) 524-1871

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on June 27, 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.