LAKESIDE MANOR
NPI 1679973465
Alzheimer Center (Dementia Center) in Lakeside, CA

NPI Status: Active since August 28, 2014

Contact Information

9308 EMERALD GROVE AVE
LAKESIDE, CA
ZIP 92040
Phone: (619) 561-8626
Fax: (619) 561-6561

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  • Organization
  • Alzheimer Center (Dementia Center)

About LAKESIDE MANOR

This page provides the complete NPI Profile along with additional information for Lakeside Manor, a provider established in Lakeside, California operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1679973465 assigned on August 2014. The practitioner's primary taxonomy code is 311500000X with license number 374600038 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Lakeside Manor. The authorized official of this NPI record is Mr. Daniel Lloyd Bailey (President)

NPI
1679973465
Provider Legal Name
BAILEY ASSOCIATES INC.
Other Organization Name
LAKESIDE MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9308 EMERALD GROVE AVE LAKESIDE, CA 92040
Location Phone
(619) 561-8626
Location Fax
(619) 561-6561
Mailing Address
9308 EMERALD GROVE AVE LAKESIDE, CA 92040
Mailing Phone
(619) 561-8626
Mailing Fax
(619) 561-6561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2014
Last Update Date
08-28-2014
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
374600038
License State
CA
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

374600038 (CA)
2315D00000XNursing & Custodial Care Facilities

Hospice, Inpatient

374600038 (CA)

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. DANIEL LLOYD BAILEY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(619) 561-8626

Reviews for LAKESIDE MANOR

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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.
1679973465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491876412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 8 + 7 + 6 + 4 + 1 + 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 1679973465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316439755BAILEY ASSOCIATES INC
Organization
Alzheimer Center (Dementia Center)9308 EMERALD GROVE AVE
LAKESIDE, CA 92040
(619) 561-8626
1053061028MAAAK INC
Organization
Assisted Living Facility9308 EMERALD GROVE AVE
LAKESIDE, CA 92040
(619) 439-8488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679973465, enumerated in the NPI registry as an "organization" on August 28, 2014

The provider is located at 9308 Emerald Grove Ave Lakeside, Ca 92040 and the phone number is (619) 561-8626

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

This NPI record was last updated on August 28, 2014. 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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