ONE SENIOR CARE KENTUCKY, LLC
NPI 1689414294
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Pikeville, KY
NPI Status: Active since May 30, 2024
Contact Information
419 TOWN MOUNTAIN RD
PIKEVILLE, KY
ZIP 41501
Phone: (606) 727-2690
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 36D2320140
- CLIA Cert. Type: Other - PACE PROGRAM
- CLIA Exp. Date: 03-12-2027
About ONE SENIOR CARE KENTUCKY, LLC
This page provides the complete NPI Profile along with additional information for One Senior Care Kentucky, Llc, a provider established in Pikeville, Kentucky operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1689414294 assigned on May 2024. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jeffery Phillips (Sole Member)
- NPI
- 1689414294
- Provider Name
- ONE SENIOR CARE KENTUCKY, LLC
- Entity Type
- Organization
- Location Address
- 419 TOWN MOUNTAIN RD PIKEVILLE, KY 41501
- Location Phone
- (606) 727-2690
- Mailing Address
- 100 STATE ST STE 200 ERIE, PA 16507
- Mailing Phone
- (814) 456-5433
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-30-2024
- Last Update Date
- 05-30-2024
- Code Navigator
Location Map
Secondary Locations
- 14892 N US Highway 25 E
Corbin, KY 40701
(606) 727-2690
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
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2320140
- Facility Type
- Other - PACE PROGRAM
- Certificate Effective Date
- March 13, 2025
- Certificate Expiration Date
- March 12, 2027
- Laboratory Director
- JEREMY J. MASHBURN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to One Senior Care Kentucky, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 6 | 8 | 9 | 4 | 1 | 4 | 2 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 8 | 1 | 8 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 8 + 1 + 8 + 2 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1689414294 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700813094 | SAMUEL J KING MD Organization | Family Medicine | 419 TOWN MOUNTAIN RD PROFESSIONAL ASSOCIATES BUILDING, SUITE #204 PIKEVILLE, KY 41501 (606) 432-9400 |
| 1235156225 | DR. SUSAN S. ALTMAN DMD Individual | Dentist (General Practice) | 419 TOWN MOUNTAIN RD SUITE 200 PIKEVILLE, KY 41501 (606) 437-4848 |
| 1174537450 | DR. BRAHMAJI S. PURAM MD Individual | Specialist | 419 TOWN MOUNTAIN RD SUITE 202 PROFESSIONAL ASSOCIATES BLDG PIKEVILLE, KY 41501 (606) 432-6162 |
| 1053413179 | MANOSH VONGVISES M.D. Individual | Otolaryngology | 419 TOWN MOUNTAIN RD SUITE 104 PIKEVILLE, KY 41501 (606) 432-3277 |
| 1801979489 | ALTMAN,MCGUIRE,MCCLELLAN & CRUM, P.S.C. Organization | Obstetrics & Gynecology | 419 TOWN MOUNTAIN RD SUITE 206 PIKEVILLE, KY 41501 (606) 437-7356 |
| 1295957215 | ANBU K. NADAR M.D., PSC Organization | Orthopaedic Surgery | 419 TOWN MOUNTAIN RD SUITE 107 PIKEVILLE, KY 41501 (606) 432-0016 |
| 1851546550 | MRS. APRIL P HALL PA-C Individual | Physician Assistant (Medical) | 419 TOWN MOUNTAIN RD SUITE 206 PIKEVILLE, KY 41501 (606) 437-7356 |
| 1336450014 | MANOSH VONGVISES, M.D., INC. Organization | Otolaryngology | 419 TOWN MOUNTAIN RD SUITE 104 PIKEVILLE, KY 41501 (606) 432-3277 |
| 1184996035 | SUSAN S. ALTMAN, D.M.D. P.S.C. Organization | Dentist (General Practice) | 419 TOWN MOUNTAIN RD SUITE 200 PIKEVILLE, KY 41501 (606) 437-4848 |
| 1609865591 | DR. RAYMOND O BISHOP MD Individual | Family Medicine | 419 TOWN MOUNTAIN RD SUITE 206 PIKEVILLE, KY 41501 (606) 437-9352 |
| 1447449145 | PIKEVILLE FAMILY MEDICINE ASSOCIATES Organization | Family Medicine | 419 TOWN MOUNTAIN RD SUITE 206 PIKEVILLE, KY 41501 (606) 432-0191 |
| 1881006054 | MOUNTAIN FAMILY MEDICINE LLC Organization | Family Medicine | 419 TOWN MOUNTAIN RD SUITE 206 PIKEVILLE, KY 41501 (606) 432-0191 |
| 1104282482 | WEBB PRIMARY CARE LLC Organization | Clinic/Center (Primary Care) | 419 TOWN MOUNTAIN RD SUITE 203 PIKEVILLE, KY 41501 (606) 253-3003 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689414294, enumerated in the NPI registry as an "organization" on May 30, 2024
The provider is located at 419 Town Mountain Rd Pikeville, Ky 41501 and the phone number is (606) 727-2690
This medical organization specializes in Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X
The provider's CLIA number is 36D2320140 for a "other - pace program" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 30, 2024. 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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