BROOKDALE WAKE FOREST
NPI 1699831594
Assisted Living Facility in Wake Forest, NC
NPI Status: Active since December 28, 2006
Contact Information
611 BROOKS ST
WAKE FOREST, NC
ZIP 27587
Phone: (919) 562-8400
Fax: (919) 562-4687
- Organization
- Assisted Living Facility
About BROOKDALE WAKE FOREST
This page provides the complete NPI Profile along with additional information for Brookdale Wake Forest, a provider established in Wake Forest, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1699831594 assigned on December 2006. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Brookdale Wake Forest. The authorized official of this NPI record is Joanne K Leskowicz (Senior Vice President)
- NPI
- 1699831594
- Provider Legal Name
- SOUTHERN ASSISTED LIVING, LLC.
- Other Organization Name
- BROOKDALE WAKE FOREST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 611 BROOKS ST WAKE FOREST, NC 27587
- Location Phone
- (919) 562-8400
- Location Fax
- (919) 562-4687
- Mailing Address
- 6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-28-2006
- Last Update Date
- 04-08-2021
- Code Navigator
Location Map
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
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7803892 | MEDICAID (05) | NC |
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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 | 9 | 9 | 8 | 3 | 1 | 5 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 3 | 2 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 3 + 2 + 5 + 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 1699831594 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306147707 | MRS. MEG ELIZABETH WILBER COTA/L Individual | Occupational Therapy Assistant | 611 BROOKS ST WAKE FOREST, NC 27587 (919) 554-4671 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699831594, enumerated in the NPI registry as an "organization" on December 28, 2006
The provider is located at 611 Brooks St Wake Forest, Nc 27587 and the phone number is (919) 562-8400
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 28, 2006. 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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