PACIFIC PLACE
NPI 1881640993
Intermediate Care Facility, Intellectual Disabilities in Pacific Junction, IA

NPI Status: Active since May 26, 2006

Contact Information

20937 KANE AVE
PACIFIC JUNCTION, IA
ZIP 51561
Phone: (712) 622-8144
Fax: (712) 622-8158

Get Directions Reviews

  • Organization
  • Intermediate Care Facility, Intellectual...

About PACIFIC PLACE

This page provides the complete NPI Profile along with additional information for Pacific Place, a provider established in Pacific Junction, Iowa operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1881640993 assigned on May 2006. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Pacific Place. The authorized official of this NPI record is Bruce J Mackey Jr. (Ceo)

NPI
1881640993
Provider Legal Name
FIVE STAR QUALITY CARE-IA, LLC
Other Organization Name
PACIFIC PLACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20937 KANE AVE PACIFIC JUNCTION, IA 51561
Location Phone
(712) 622-8144
Location Fax
(712) 622-8158
Mailing Address
400 CENTRE ST NEWTON, MA 02458
Mailing Phone
(617) 796-8387
Mailing Fax
(712) 622-8158
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-26-2006
Last Update Date
05-29-2008
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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

BRUCE J MACKEY JR.

Authorized Official Title
CEO
Authorized Official Phone
(617) 796-8387

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
0881573MEDICAID (05)IA 

Reviews for PACIFIC PLACE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1881640993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281611240918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 2 + 4 + 0 + 9 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1881640993 is valid because the calculated check digit 3 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 1881640993, enumerated in the NPI registry as an "organization" on May 26, 2006

The provider is located at 20937 Kane Ave Pacific Junction, Ia 51561 and the phone number is (712) 622-8144

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

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 26, 2006. 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.