LEAKE EXTENDED CARE FACILITY
NPI 1750456034
Nursing Facility/Intermediate Care Facility in Carthage, MS
NPI Status: Active since November 21, 2006
Contact Information
310 ELLIS ST
CARTHAGE, MS
ZIP 39051
Phone: (601) 267-1100
Fax: (601) 267-1211
- Organization
- Nursing Facility/Intermediate Care Facil...
About LEAKE EXTENDED CARE FACILITY
This page provides the complete NPI Profile along with additional information for Leake Extended Care Facility, a provider established in Carthage, Mississippi operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1750456034 assigned on November 2006. The practitioner's primary taxonomy code is 313M00000X with license number 214 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Sandy Goolsby (Accountant Business Office Manager)
- NPI
- 1750456034
- Provider Name
- LEAKE EXTENDED CARE FACILITY
- Entity Type
- Organization
- Location Address
- 310 ELLIS ST CARTHAGE, MS 39051
- Location Phone
- (601) 267-1100
- Location Fax
- (601) 267-1211
- Mailing Address
- 310 ELLIS ST CARTHAGE, MS 39051
- Mailing Phone
- (601) 267-1100
- Mailing Fax
- (601) 267-1211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 08-22-2020
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 214
- License State
- MS
- 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.
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 |
|---|---|---|---|
| 00230186 | MEDICAID (05) | MS |
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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 | 5 | 0 | 4 | 5 | 6 | 0 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 5 | 12 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 5 + 1 + 2 + 0 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750456034 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831174804 | LEAKE COUNTY BOARD OF TRUSTEES Organization | General Acute Care Hospital (Critical Access) | 310 ELLIS ST CARTHAGE, MS 39051 (601) 267-1100 |
| 1891832747 | DR. WILLIAM D LOGAN JR. MD Individual | Emergency Medicine | 310 ELLIS ST CARTHAGE, MS 39051 (601) 267-1100 |
| 1245684612 | LEAKE LTC, LLC Organization | Nursing Facility/Intermediate Care Facility | 310 ELLIS ST CARTHAGE, MS 39051 (601) 267-1432 |
| 1720336126 | BAPTIST MEDICAL CENTER -LEAKE INC Organization | Hospitalist | 310 ELLIS ST CARTHAGE, MS 39051 (601) 944-1717 |
| 1588940811 | BAPTIST-LEAKE EXTENDED CARE FACILITY Organization | Nursing Facility/Intermediate Care Facility | 310 ELLIS ST CARTHAGE, MS 39051 (601) 267-1432 |
| 1023187689 | MRS. TOMMIE K JONES C.F.N.P. Individual | Nurse Practitioner (Family) | 310 ELLIS ST CARTHAGE, MS 39051 (601) 267-1480 |
| 1073545554 | DR. EVAN J. PICKUS M.D. Individual | Plastic Surgery | 310 ELLIS ST CARTHAGE, MS 39051 (601) 740-2785 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750456034, enumerated in the NPI registry as an "organization" on November 21, 2006
The provider is located at 310 Ellis St Carthage, Ms 39051 and the phone number is (601) 267-1100
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 November 21, 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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