COUNTRY LANE PAYSON OPERATING LLC
NPI 1750732723
Assisted Living Facility in Payson, UT

NPI Status: Active since June 30, 2016

Contact Information

153 S. 900 E
PAYSON, UT
ZIP 84651
Phone: (801) 465-1490
Fax: (801) 465-3579

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  • Organization
  • Assisted Living Facility

About COUNTRY LANE PAYSON OPERATING LLC

This page provides the complete NPI Profile along with additional information for Country Lane Payson Operating Llc, a provider established in Payson, Utah operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1750732723 assigned on June 2016. The practitioner's primary taxonomy code is 310400000X with license number 2016AL11UT207238 (UT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jared Andersen (Owner)

NPI
1750732723
Provider Name
COUNTRY LANE PAYSON OPERATING LLC
Entity Type
Organization
Location Address
153 S. 900 E PAYSON, UT 84651
Location Phone
(801) 465-1490
Location Fax
(801) 465-3579
Mailing Address
1133 N. MAIN ST SUITE 210 LAYTON, UT 84041
Mailing Phone
(801) 546-7417
Mailing Fax
(801) 465-3579
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2016
Last Update Date
06-30-2016
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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
License No.
2016AL11UT207238
License State
UT
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

JARED ANDERSEN

Authorized Official Title
OWNER
Authorized Official Phone
(801) 928-3997

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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.
1750732723
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100143474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 3 + 4 + 7 + 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 1750732723 is valid because the calculated check digit 3 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 1750732723, enumerated in the NPI registry as an "organization" on June 30, 2016

The provider is located at 153 S. 900 E Payson, Ut 84651 and the phone number is (801) 465-1490

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

This NPI record was last updated on June 30, 2016. 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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