JOE CLARK RESIDENTIAL CARE HOME
NPI 1730611583
Assisted Living Facility in Nevada, MO

NPI Status: Active since March 31, 2017

Contact Information

1495 E ASHLAND ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-5000
Fax: (417) 667-5059

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  • Organization
  • Assisted Living Facility

About JOE CLARK RESIDENTIAL CARE HOME

This page provides the complete NPI Profile along with additional information for Joe Clark Residential Care Home, a provider established in Nevada, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1730611583 assigned on March 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Joe Clark Residential Care Home. The authorized official of this NPI record is Karen Ruth Clark (President/secretary)

NPI
1730611583
Provider Legal Name
NEVADA HEALTH CARE SERVICES, INC.
Other Organization Name
JOE CLARK RESIDENTIAL CARE HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1495 E ASHLAND ST NEVADA, MO 64772
Location Phone
(417) 667-5000
Location Fax
(417) 667-5059
Mailing Address
1495 E ASHLAND ST PO BOX 246 NEVADA, MO 64772
Mailing Phone
(417) 667-5000
Mailing Fax
(417) 667-5059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2017
Last Update Date
03-31-2017
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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

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.

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

KAREN RUTH CLARK

Authorized Official Title
PRESIDENT/SECRETARY
Authorized Official Phone
(417) 448-7152

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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.
1730611583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601212516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 1 + 2 + 5 + 1 + 6 + 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 = 33

The NPI number 1730611583 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
1174717383CLARK HEALTH CARE, INC.
Organization
Assisted Living Facility1495 E ASHLAND ST
NEVADA, MO 64772
(417) 667-5000
1346531415BGC HEALTH CARE SERVICES, INC.
Organization
Assisted Living Facility1495 E ASHLAND ST
NEVADA, MO 64772
(417) 667-5000
1316369192KRC 1495 HEALTH CARE SERVICES LLC
Organization
Assisted Living Facility1495 E ASHLAND ST
NEVADA, MO 64772
(417) 667-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730611583, enumerated in the NPI registry as an "organization" on March 31, 2017

The provider is located at 1495 E Ashland St Nevada, Mo 64772 and the phone number is (417) 667-5000

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on March 31, 2017. 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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