INFINIA AT DOUGLAS
NPI 1831195460
Skilled Nursing Facility in Douglas, AZ

NPI Status: Active since June 28, 2005

Contact Information

1400 N SAN ANTONIO AVE
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-7937
Fax: (520) 805-9146

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  • Organization
  • Skilled Nursing Facility

About INFINIA AT DOUGLAS

This page provides the complete NPI Profile along with additional information for Infinia At Douglas, a provider established in Douglas, Arizona operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1831195460 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X with license number NCI-388 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Scott Robertson (Owner)

NPI
1831195460
Provider Name
INFINIA AT DOUGLAS
Entity Type
Organization
Location Address
1400 N SAN ANTONIO AVE DOUGLAS, AZ 85607
Location Phone
(520) 364-7937
Location Fax
(520) 805-9146
Mailing Address
1400 N SAN ANTONIO AVE DOUGLAS, AZ 85607
Mailing Phone
(520) 364-7937
Mailing Fax
(520) 805-9146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
NCI-388
License State
AZ
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.

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.

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

SCOTT ROBERTSON

Authorized Official Title
OWNER
Authorized Official Phone
(801) 295-8000

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
707416MEDICAID (05)AZ 

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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.
1831195460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28612910412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 2 + 9 + 1 + 0 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1831195460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366681520LA SOLANA CARE AND REHAB, INC
Organization
Skilled Nursing Facility1400 N SAN ANTONIO AVE
DOUGLAS, AZ 85607
(520) 364-7937
1710307335 PETER LA JOY
Individual
Physical Therapist1400 N SAN ANTONIO AVE
DOUGLAS, AZ 85607
(888) 873-4221
1073850319HAVEN HEALTH DOUGLAS
Organization
Skilled Nursing Facility1400 N SAN ANTONIO AVE
DOUGLAS, AZ 85607
(520) 364-7937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831195460, enumerated in the NPI registry as an "organization" on June 28, 2005

The provider is located at 1400 N San Antonio Ave Douglas, Az 85607 and the phone number is (520) 364-7937

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

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 June 28, 2005. 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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