PROVIDENCE ANDERSON
NPI 1790158335
Skilled Nursing Facility in Anderson, IN
NPI Status: Active since November 04, 2015
Contact Information
1345 N MADISON AVE
ANDERSON, IN
ZIP 46011
Phone: (765) 644-2888
- Organization
- Skilled Nursing Facility
- CLIA Number: 15D0351997
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About PROVIDENCE ANDERSON
This page provides the complete NPI Profile along with additional information for Providence Anderson, a provider established in Anderson, Indiana operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1790158335 assigned on November 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Providence Anderson. The authorized official of this NPI record is Jason Murray (President)
- NPI
- 1790158335
- Provider Legal Name
- ANDERSON POST ACUTE, LLC
- Other Organization Name
- PROVIDENCE ANDERSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1345 N MADISON AVE ANDERSON, IN 46011
- Location Phone
- (765) 644-2888
- Mailing Address
- 1345 N MADISON AVE ANDERSON, IN 46011
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2015
- Last Update Date
- 11-04-2015
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0351997
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- AMBER STEWART
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Anderson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 9 | 0 | 1 | 5 | 8 | 3 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 5 | 16 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 5 + 1 + 6 + 3 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1790158335 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245278332 | MANOR CARE OF ANDERSON IN LLC Organization | Skilled Nursing Facility | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1073847307 | MRS. LINDSEY ANN-MARIE ZURAWSKI M.A., CCC-SLP Individual | Speech-Language Pathologist | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1689908956 | MS. LINDA LOUSE RICE P.T. Individual | Physical Therapist | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1861726184 | MEGHAN R CHAMPLIN MA,CF- SLP Individual | Speech-Language Pathologist | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1184958084 | MRS. AMY LYNN BOLLENBACHER PTA Individual | Physical Therapy Assistant | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1336473677 | MRS. KARA KENNEDY OT Individual | Occupational Therapist | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1164200820 | HEATHER EBIGBO PTA Individual | Physical Therapy Assistant | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1528830148 | ASHLEY DAVIS COTA Individual | Occupational Therapy Assistant | 1345 N MADISON AVE ANDERSON, IN 46011 (317) 979-0173 |
| 1891165536 | DAVIESS COUNTY HOSPITAL Organization | Skilled Nursing Facility | 1345 N MADISON AVE ANDERSON, IN 46011 (765) 644-2888 |
| 1588464242 | GREAT HEALTH MEDICAL IN PC Organization | Family Medicine | 1345 N MADISON AVE ANDERSON, IN 46011 (718) 470-0288 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790158335, enumerated in the NPI registry as an "organization" on November 04, 2015
The provider is located at 1345 N Madison Ave Anderson, In 46011 and the phone number is (765) 644-2888
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider's CLIA number is 15D0351997 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 04, 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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