MASONIC VILLAGE AT ELIZABETHTOWN
NPI 1720332653
Skilled Nursing Facility in Elizabethtown, PA
NPI Status: Active since October 30, 2012
Contact Information
581 FREEMASON DR
ELIZABETHTOWN, PA
ZIP 17022
Phone: (717) 367-1121
Fax: (717) 367-5813
- Organization
- Skilled Nursing Facility
About MASONIC VILLAGE AT ELIZABETHTOWN
This page provides the complete NPI Profile along with additional information for Masonic Village At Elizabethtown, a provider established in Elizabethtown, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1720332653 assigned on October 2012. The practitioner's primary taxonomy code is 314000000X with license number 131502 (PA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Masonic Village At Elizabethtown operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Masonic Village At Elizabethtown. The authorized official of this NPI record is Ms. Pamela Formica (Chief Financial Officer)
- NPI
- 1720332653
- Provider Legal Name
- MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
- Other Organization Name
- MASONIC VILLAGE AT ELIZABETHTOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 581 FREEMASON DR ELIZABETHTOWN, PA 17022
- Location Phone
- (717) 367-1121
- Location Fax
- (717) 367-5813
- Mailing Address
- 1 MASONIC DR ELIZABETHTOWN, PA 17022
- Mailing Phone
- (717) 367-1121
- Mailing Fax
- (717) 367-5813
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2012
- Last Update Date
- 05-01-2023
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 131502
- License State
- PA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 122300000X | Dental Providers | Dentist | |
| 3 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 4 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 | 7 | 2 | 0 | 3 | 3 | 2 | 6 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 6 | 3 | 4 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 6 + 3 + 4 + 6 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720332653 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932453867 | MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA Organization | Hospice, Inpatient | 581 FREEMASON DR ELIZABETHTOWN, PA 17022 (717) 367-1121 |
| 1730433343 | MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA Organization | Day Training, Developmentally Disabled Services | 581 FREEMASON DR ELIZABETHTOWN, PA 17022 (717) 367-1121 |
| 1972856151 | MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA Organization | Clinical Medical Laboratory | 581 FREEMASON DR ELIZABETHTOWN, PA 17022 (717) 367-1121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720332653, enumerated in the NPI registry as an "organization" on October 30, 2012
The provider is located at 581 Freemason Dr Elizabethtown, Pa 17022 and the phone number is (717) 367-1121
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
This NPI record was last updated on October 30, 2012. 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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