SOUTHERN PINES SENIOR LIVING
NPI 1952780959
Assisted Living Facility in Maysville, GA

NPI Status: Active since May 22, 2015

Contact Information

258 COLLEGE AVE
MAYSVILLE, GA
ZIP 30558
Phone: (706) 652-2600
Fax: (706) 652-3523

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  • Organization
  • Assisted Living Facility

About SOUTHERN PINES SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Southern Pines Senior Living, a provider established in Maysville, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1952780959 assigned on May 2015. The practitioner's primary taxonomy code is 310400000X with license number PCH009059 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southern Pines Senior Living. The authorized official of this NPI record is Mr. Hamid Nikfarjam (Owner)

NPI
1952780959
Provider Legal Name
PARADISE LIVING
Other Organization Name
SOUTHERN PINES SENIOR LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
258 COLLEGE AVE MAYSVILLE, GA 30558
Location Phone
(706) 652-2600
Location Fax
(706) 652-3523
Mailing Address
258 COLLEGE AVE MAYSVILLE, GA 30558
Mailing Phone
(706) 652-2600
Mailing Fax
(706) 652-3523
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2015
Last Update Date
05-22-2015
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
PCH009059
License State
GA
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.

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

MR. HAMID NIKFARJAM

Authorized Official Title
OWNER
Authorized Official Phone
(706) 652-2600

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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.
1952780959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021480910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 4 + 8 + 0 + 9 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1952780959 is valid because the calculated check digit 9 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 1952780959, enumerated in the NPI registry as an "organization" on May 22, 2015

The provider is located at 258 College Ave Maysville, Ga 30558 and the phone number is (706) 652-2600

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on May 22, 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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