JOHNSON LLHCSA FREDONIA
NPI 1780885012
Custodial Care Facility - Adult Care Home in Fredonia, NY
NPI Status: Active since May 31, 2007
Contact Information
4883 W MAIN RD
FREDONIA, NY
ZIP 14063
Phone: (716) 679-4883
Fax: (716) 679-4881
- Organization
- Custodial Care Facility
- Adult Care Home
About JOHNSON LLHCSA FREDONIA
This page provides the complete NPI Profile along with additional information for Johnson Llhcsa Fredonia, a provider established in Fredonia, New York operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1780885012 assigned on May 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number 0671A001 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Johnson Llhcsa Fredonia. The authorized official of this NPI record is Mr. Dean Stanley Brown (Finance Director)
- NPI
- 1780885012
- Provider Legal Name
- RONALD R. JOHNSON
- Other Organization Name
- JOHNSON LLHCSA FREDONIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4883 W MAIN RD FREDONIA, NY 14063
- Location Phone
- (716) 679-4883
- Location Fax
- (716) 679-4881
- Mailing Address
- 4883 W MAIN RD FREDONIA, NY 14063
- Mailing Phone
- (716) 679-4883
- Mailing Fax
- (716) 679-4881
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2007
- Last Update Date
- 08-22-2020
- 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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0671A001
- License State
- NY
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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.
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 |
|---|---|---|---|
| 01996758 | MEDICAID (05) | NY |
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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 | 8 | 8 | 5 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 16 | 8 | 10 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 6 + 8 + 1 + 0 + 0 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1780885012 is valid because the calculated check digit 2 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 1780885012, enumerated in the NPI registry as an "organization" on May 31, 2007
The provider is located at 4883 W Main Rd Fredonia, Ny 14063 and the phone number is (716) 679-4883
This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home
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 May 31, 2007. 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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