OLIVE GROVE RESIDENTIAL CARE
NPI 1699191775
Custodial Care Facility - Adult Care Home in Las Vegas, NV

NPI Status: Active since March 12, 2014

Contact Information

9446 BACK BAY CIR
LAS VEGAS, NV
ZIP 89123
Phone: (702) 413-6947
Fax: (702) 359-1983

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About OLIVE GROVE RESIDENTIAL CARE

This page provides the complete NPI Profile along with additional information for Olive Grove Residential Care, a provider established in Las Vegas, Nevada operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1699191775 assigned on March 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 76654GC-1 (NV). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Olive Grove Residential Care. The authorized official of this NPI record is Mr. Royce Long (Corporate Officer/president)

NPI
1699191775
Provider Legal Name
OLIVE GROVE LLC
Other Organization Name
OLIVE GROVE RESIDENTIAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9446 BACK BAY CIR LAS VEGAS, NV 89123
Location Phone
(702) 413-6947
Location Fax
(702) 359-1983
Mailing Address
723 E KIRKWALL RD GLENDORA, CA 91740
Mailing Phone
(714) 981-9081
Mailing Fax
(702) 359-1983
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2014
Last Update Date
03-12-2014
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
76654GC-1
License State
NV
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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. ROYCE LONG

Authorized Official Title
CORPORATE OFFICER/PRESIDENT
Authorized Official Phone
(714) 981-9081

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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.
1699191775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189292714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 9 + 2 + 7 + 1 + 4 + 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 1699191775 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 1699191775, enumerated in the NPI registry as an "organization" on March 12, 2014

The provider is located at 9446 Back Bay Cir Las Vegas, Nv 89123 and the phone number is (702) 413-6947

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on March 12, 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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