SENIOR HEALTH SOURCE LLC
NPI 1750677407
Clinical Nurse Specialist - Gerontology in Daphne, AL

NPI Status: Active since June 21, 2011

Contact Information

27440 COUNTY ROAD 13
DAPHNE, AL
ZIP 36526
Phone: (251) 533-6372

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  • Organization
  • Clinical Nurse Specialist
  • Gerontology

About SENIOR HEALTH SOURCE LLC

This page provides the complete NPI Profile along with additional information for Senior Health Source Llc, a provider established in Daphne, Alabama operating as a Clinical Nurse Specialist, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1750677407 assigned on June 2011. The practitioner's primary taxonomy code is 364SG0600X with license number 1-087343 (AL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Karen L Jackson Crnp (Owner)

NPI
1750677407
Provider Name
SENIOR HEALTH SOURCE LLC
Entity Type
Organization
Location Address
27440 COUNTY ROAD 13 DAPHNE, AL 36526
Location Phone
(251) 533-6372
Mailing Address
PO BOX 7872 SPANISH FORT, AL 36577
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2011
Last Update Date
12-30-2011
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A Clinical Nurse Specialist (CNS) like Senior Health Source Llc is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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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

Clinical Nurse Specialist Gerontology

Taxonomy Code
364SG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1-087343
License State
AL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MRS. KAREN L JACKSON CRNP

Authorized Official Title
OWNER
Authorized Official Phone
(251) 533-6372

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
102G705926MEDICARE UPIN (02)AL 

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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.
1750677407
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001271440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 1 + 4 + 4 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750677407 is valid because the calculated check digit 7 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 1750677407, enumerated in the NPI registry as an "organization" on June 21, 2011

The provider is located at 27440 County Road 13 Daphne, Al 36526 and the phone number is (251) 533-6372

This medical organization specializes in Clinical Nurse Specialist with taxonomy code 364SG0600X with a focus in Gerontology

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 June 21, 2011. 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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