GRACE ASSISTED LIVING OF BREMEN, LLC
NPI 1720284482
Point of Service in Bremen, GA

NPI Status: Active since June 21, 2007

Contact Information

524 GORDON ST
BREMEN, GA
ZIP 30110
Phone: (770) 537-6800
Fax: (770) 537-1067

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  • Organization
  • Point of Service

About GRACE ASSISTED LIVING OF BREMEN, LLC

This page provides the complete NPI Profile along with additional information for Grace Assisted Living Of Bremen, Llc, a provider established in Bremen, Georgia operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1720284482 assigned on June 2007. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. John Holtz (Controller)

NPI
1720284482
Provider Name
GRACE ASSISTED LIVING OF BREMEN, LLC
Entity Type
Organization
Location Address
524 GORDON ST BREMEN, GA 30110
Location Phone
(770) 537-6800
Location Fax
(770) 537-1067
Mailing Address
78 CENTENNIAL LOOP EUGENE, OR 97401
Mailing Phone
(541) 747-3373
Mailing Fax
(770) 537-1067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2007
Last Update Date
05-13-2008
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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. JOHN HOLTZ

Authorized Official Title
CONTROLLER
Authorized Official Phone
(541) 747-3373

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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.
1720284482
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740488416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 8 + 8 + 4 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1720284482 is valid because the calculated check digit 2 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 1720284482, enumerated in the NPI registry as an "organization" on June 21, 2007

The provider is located at 524 Gordon St Bremen, Ga 30110 and the phone number is (770) 537-6800

This medical organization specializes in Point of Service with taxonomy code 305S00000X

This NPI record was last updated on June 21, 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.