FIRST DOOR, LLC
NPI 1750832564
Custodial Care Facility in Southfield, MI

NPI Status: Active since October 17, 2016

Contact Information

25584 W 10 MILE RD
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 877-8401
Fax: (313) 454-3102

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  • Organization
  • Custodial Care Facility

About FIRST DOOR, LLC

This page provides the complete NPI Profile along with additional information for First Door, Llc, a provider established in Southfield, Michigan operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1750832564 assigned on October 2016. The practitioner's primary taxonomy code is 311Z00000X with license number AS630369663 (MI). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Modeira Johnson Sr. (Owner/ceo/president)

NPI
1750832564
Provider Name
FIRST DOOR, LLC
Entity Type
Organization
Location Address
25584 W 10 MILE RD SOUTHFIELD, MI 48033
Location Phone
(248) 877-8401
Location Fax
(313) 454-3102
Mailing Address
25584 W 10 MILE RD SOUTHFIELD, MI 48033
Mailing Phone
(248) 877-8401
Mailing Fax
(313) 454-3102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2016
Last Update Date
11-13-2018
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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

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
License No.
AS630369663
License State
MI
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 
2261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

 
3311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

AS630369663 (MI)
4314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

 
5320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

AS630369663 (MI)
6320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

AS630369663 (MI)
7385H00000XRespite Care Facility

Respite Care

AS630369663 (MI)

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

MR. MODEIRA JOHNSON SR.

Authorized Official Title
OWNER/CEO/PRESIDENT
Authorized Official Phone
(248) 877-8401

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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.
1750832564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001634512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 3 + 4 + 5 + 1 + 2 + 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 = 44

The NPI number 1750832564 is valid because the calculated check digit 4 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 1750832564, enumerated in the NPI registry as an "organization" on October 17, 2016

The provider is located at 25584 W 10 Mile Rd Southfield, Mi 48033 and the phone number is (248) 877-8401

This medical organization specializes in Custodial Care Facility with taxonomy code 311Z00000X

This NPI record was last updated on October 17, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.