COMMUNITY LIVING RESOURCES LLC
NPI 1780065425
In Home Supportive Care in Fort Wayne, IN
NPI Status: Active since June 17, 2015
Contact Information
2927 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 745-1200
Fax: (260) 745-5968
- Organization
- In Home Supportive Care
About COMMUNITY LIVING RESOURCES LLC
This page provides the complete NPI Profile along with additional information for Community Living Resources Llc, a provider established in Fort Wayne, Indiana operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1780065425 assigned on June 2015. The practitioner's primary taxonomy code is 253Z00000X. 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 Aaron Shapiro (Cfo)
- NPI
- 1780065425
- Provider Name
- COMMUNITY LIVING RESOURCES LLC
- Entity Type
- Organization
- Location Address
- 2927 LAKE AVE FORT WAYNE, IN 46805
- Location Phone
- (260) 745-1200
- Location Fax
- (260) 745-5968
- Mailing Address
- 2927 LAKE AVE FORT WAYNE, IN 46805
- Mailing Phone
- (260) 745-1200
- Mailing Fax
- (260) 745-5968
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2015
- Last Update Date
- 02-02-2018
- Code Navigator
Location Map
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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management |
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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. | |||||||||
| 1 | 7 | 8 | 0 | 0 | 6 | 5 | 4 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 0 | 6 | 10 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 0 + 6 + 1 + 0 + 4 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1780065425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851510085 | AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC. Organization | Case Management | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 745-1200 |
| 1851775720 | JANELLE COUTURE RDN, CD Individual | Dietitian, Registered | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 745-1200 |
| 1003466202 | PACE OF NORTHEAST INDIANA Organization | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 745-1200 |
| 1639209125 | AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC. Organization | Case Management | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 745-1200 |
| 1356932263 | KIMBERLY SUE CONVERSE OT Individual | Occupational Therapist | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 452-9985 |
| 1780275578 | CARRIE GUILLAUME MA CCCSLP Individual | Speech-Language Pathologist | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 452-4062 |
| 1235703034 | LINDSAY RENEE BROWN Individual | Physical Therapy Assistant | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 449-1065 |
| 1295301802 | KELLEY GICK PTA Individual | Physical Therapy Assistant | 2927 LAKE AVE FORT WAYNE, IN 46805 (260) 469-4148 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780065425, enumerated in the NPI registry as an "organization" on June 17, 2015
The provider is located at 2927 Lake Ave Fort Wayne, In 46805 and the phone number is (260) 745-1200
This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X
This NPI record was last updated on June 17, 2015. 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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