EVENTIDE NURSING HOME
NPI 1750376273
Nursing Facility/Intermediate Care Facility in San Saba, TX

NPI Status: Active since September 12, 2005

Contact Information

1405 W STOREY ST
SAN SABA, TX
ZIP 76877
Phone: (254) 372-5112
Fax: (254) 372-5114

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About EVENTIDE NURSING HOME

This page provides the complete NPI Profile along with additional information for Eventide Nursing Home, a provider established in San Saba, Texas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1750376273 assigned on September 2005. The practitioner's primary taxonomy code is 313M00000X with license number 114176 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Eventide Nursing Home. The authorized official of this NPI record is Michael Jay Bumpass Lnha (Administrator)

NPI
1750376273
Provider Legal Name
WOODLAND SPRINGS NURSING CENTER INC
Other Organization Name
EVENTIDE NURSING HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1405 W STOREY ST SAN SABA, TX 76877
Location Phone
(254) 372-5112
Location Fax
(254) 372-5114
Mailing Address
200 W HIGHWAY 6 SUITE 509 WACO, TX 76712
Mailing Phone
(254) 399-6788
Mailing Fax
(254) 372-5114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2005
Last Update Date
01-06-2009
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
114176
License State
TX
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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.

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

MICHAEL JAY BUMPASS LNHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(254) 399-6788

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
140720701MEDICAID (05)TX 
675715MEDICARE OSCAR/CERTIFICATION (06)TX 

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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.
1750376273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006712214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 2 + 2 + 1 + 4 + 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 1750376273 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093093882SAN SABA SNF LLC
Organization
Skilled Nursing Facility1405 W STOREY ST
SAN SABA, TX 76877
(325) 372-5112
1477801934PECAN VALLEY NURSING AND REHAB CENTER LLC
Organization
Skilled Nursing Facility1405 W STOREY ST
SAN SABA, TX 76877
(325) 372-5112
1407252448MCCULLOCH COUNTY HOSPITAL DISTRICT
Organization
Skilled Nursing Facility1405 W STOREY ST
SAN SABA, TX 76877
(325) 372-5112
1407318546LS SAN SABA OPERATOR LLC
Organization
Skilled Nursing Facility1405 W STOREY ST
SAN SABA, TX 76877
(325) 372-5112
1306922133BOB & NICK ENTERPRISES, INC
Organization
Skilled Nursing Facility1405 W STOREY ST
SAN SABA, TX 76877
(325) 372-3675

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750376273, enumerated in the NPI registry as an "organization" on September 12, 2005

The provider is located at 1405 W Storey St San Saba, Tx 76877 and the phone number is (254) 372-5112

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

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 September 12, 2005. 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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