J & J ASSISTED LIVING
NPI 1760669626
Assisted Living Facility - Assisted Living, Mental Illness in Marble Hill, MO

NPI Status: Active since January 23, 2008

Contact Information

104 MOUND ST
MARBLE HILL, MO
ZIP 63764
Phone: (573) 238-1008
Fax: (573) 238-3233

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About J & J ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for J & J Assisted Living, a provider established in Marble Hill, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1760669626 assigned on January 2008. The practitioner's primary taxonomy code is 3104A0625X with license number 034164 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Jon C Pierce (Administrator)

NPI
1760669626
Provider Name
J & J ASSISTED LIVING
Entity Type
Organization
Location Address
104 MOUND ST MARBLE HILL, MO 63764
Location Phone
(573) 238-1008
Location Fax
(573) 238-3233
Mailing Address
PO BOX 378 MARBLE HILL, MO 63764
Mailing Phone
(573) 238-4602
Mailing Fax
(573) 238-3233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2008
Last Update Date
01-23-2008
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
034164
License State
MO
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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. JON C PIERCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(573) 238-4602

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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.
1760669626
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201261864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 6 + 1 + 8 + 6 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1760669626 is valid because the calculated check digit 6 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 1760669626, enumerated in the NPI registry as an "organization" on January 23, 2008

The provider is located at 104 Mound St Marble Hill, Mo 63764 and the phone number is (573) 238-1008

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

This NPI record was last updated on January 23, 2008. 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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