COUNTRY CLUB RETIREMENT COMMUNITY
NPI 1821574856
Assisted Living Facility in Whitney, TX
NPI Status: Active since July 12, 2018
Contact Information
4773 FM 933 N
WHITNEY, TX
ZIP 76692
Phone: (214) 328-9828
Fax: (214) 328-3042
- Organization
- Assisted Living Facility
About COUNTRY CLUB RETIREMENT COMMUNITY
This page provides the complete NPI Profile along with additional information for Country Club Retirement Community, a provider established in Whitney, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1821574856 assigned on July 2018. The practitioner's primary taxonomy code is 310400000X with license number 103976 (). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Country Club Retirement Community. The authorized official of this NPI record is Barbara Ecord (Vice President)
- NPI
- 1821574856
- Provider Legal Name
- ROBERT W. LEISKE LEGACY CENTERS, INC.
- Other Organization Name
- COUNTRY CLUB RETIREMENT COMMUNITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4773 FM 933 N WHITNEY, TX 76692
- Location Phone
- (214) 328-9828
- Location Fax
- (214) 328-3042
- Mailing Address
- 745 N BUCKNER BLVD DALLAS, TX 75218
- Mailing Phone
- (214) 328-9828
- Mailing Fax
- (214) 328-3042
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2018
- Last Update Date
- 07-12-2018
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 103976
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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 |
|---|---|---|---|
| 103976 | MEDICAID (05) | TX |
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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 | 8 | 2 | 1 | 5 | 7 | 4 | 8 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 10 | 7 | 8 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 0 + 7 + 8 + 8 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1821574856 is valid because the calculated check digit 6 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 1821574856, enumerated in the NPI registry as an "organization" on July 12, 2018
The provider is located at 4773 Fm 933 N Whitney, Tx 76692 and the phone number is (214) 328-9828
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
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 July 12, 2018. 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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