DIET OF A LIFETIME, LLC
NPI 1811553555
Clinic/Center in Pine Bluff, AR

NPI Status: Active since May 17, 2019

Contact Information

123 S PINE ST
PINE BLUFF, AR
ZIP 71601
Phone: (870) 540-9114

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  • Organization
  • Clinic/Center

About DIET OF A LIFETIME, LLC

This page provides the complete NPI Profile along with additional information for Diet Of A Lifetime, Llc, a provider established in Pine Bluff, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1811553555 assigned on May 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Debra C Goldmon (Owner)

NPI
1811553555
Provider Name
DIET OF A LIFETIME, LLC
Entity Type
Organization
Location Address
123 S PINE ST PINE BLUFF, AR 71601
Location Phone
(870) 540-9114
Mailing Address
420 SANDY BAYOU LN PINE BLUFF, AR 71603
Mailing Phone
(870) 850-0351
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2019
Last Update Date
05-17-2019
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DEBRA C GOLDMON

Authorized Official Title
OWNER
Authorized Official Phone
(870) 540-9114

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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.
1811553555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211056510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 0 + 5 + 6 + 5 + 1 + 0 + 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 = 55

The NPI number 1811553555 is valid because the calculated check digit 5 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 1811553555, enumerated in the NPI registry as an "organization" on May 17, 2019

The provider is located at 123 S Pine St Pine Bluff, Ar 71601 and the phone number is (870) 540-9114

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on May 17, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.