GRACE ASSISTED LIVING
NPI 1760734149
Community Based Residential Treatment Facility, Mental Illness in Libby, MT

NPI Status: Active since October 09, 2012

Contact Information

459 CONIFER RD
LIBBY, MT
ZIP 59923
Phone: (406) 295-9980

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About GRACE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Grace Assisted Living, a provider established in Libby, Montana operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1760734149 assigned on October 2012. The practitioner's primary taxonomy code is 320800000X with license number 0044364-001 (MT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Grace Assisted Living. The authorized official of this NPI record is Ms. Rae Ann Moxley (Sole Proprietor)

NPI
1760734149
Provider Legal Name
RAE ANN MOXLEY
Other Organization Name
GRACE ASSISTED LIVING
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
459 CONIFER RD LIBBY, MT 59923
Location Phone
(406) 295-9980
Mailing Address
459 CONIFER RD LIBBY, MT 59923
Mailing Phone
(406) 295-9980
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2012
Last Update Date
10-09-2012
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
0044364-001
License State
MT
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

MS. RAE ANN MOXLEY

Authorized Official Title
SOLE PROPRIETOR
Authorized Official Phone
(406) 293-9980

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
0044364-001OTHER (01)MTMT ST DEPT. OF PUBLIC HEALTH AND HUMAN SERVICES LICENSE FOR ADULT FOSTER HOME

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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.
1760734149
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120143818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 3 + 8 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1760734149 is valid because the calculated check digit 9 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 1760734149, enumerated in the NPI registry as an "organization" on October 09, 2012

The provider is located at 459 Conifer Rd Libby, Mt 59923 and the phone number is (406) 295-9980

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

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 October 09, 2012. 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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