CONCORDIA NURSING AND REHABILITATION - FAIRPARK
NPI 1962927616
Skilled Nursing Facility in Maryville, TN
NPI Status: Active since August 03, 2017
Contact Information
307 N 5TH ST
MARYVILLE, TN
ZIP 37804
Phone: (865) 983-0261
Fax: (865) 984-5108
- Organization
- Skilled Nursing Facility
About CONCORDIA NURSING AND REHABILITATION - FAIRPARK
This page provides the complete NPI Profile along with additional information for Concordia Nursing And Rehabilitation - Fairpark, a provider established in Maryville, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1962927616 assigned on August 2017. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Concordia Nursing And Rehabilitation - Fairpark. The authorized official of this NPI record is Bent Philipson (Managing Member)
- NPI
- 1962927616
- Provider Legal Name
- EAGLE ACQUISITION VIII LLC
- Other Organization Name
- CONCORDIA NURSING AND REHABILITATION - FAIRPARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 307 N 5TH ST MARYVILLE, TN 37804
- Location Phone
- (865) 983-0261
- Location Fax
- (865) 984-5108
- Mailing Address
- PO BOX 5477 MARYVILLE, TN 37802
- Mailing Phone
- (865) 983-0261
- Mailing Fax
- (865) 984-5108
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2017
- Last Update Date
- 07-21-2022
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- 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.
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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 | 9 | 6 | 2 | 9 | 2 | 7 | 6 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 18 | 2 | 14 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 8 + 2 + 1 + 4 + 6 + 2 + 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 1962927616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790940401 | MELISSA ANN KEANE PTA Individual | Physical Therapy Assistant | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1952558421 | MRS. TRICIA SHUDAN JENKINS COTA/L Individual | Occupational Therapy Assistant | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1710135199 | MR. KEVIN WALL LPTA Individual | Physical Therapy Assistant | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1194974352 | MR. JAROSLAW ZABEK PT Individual | Physical Therapist | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1346261435 | KINDRED NURSING CENTERS LIMITED PARTNERSHIP Organization | Skilled Nursing Facility | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1194989780 | AMANDA JEAN BIVENS OTR/L Individual | Occupational Therapist | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
| 1528627791 | MARYVILLE FAIRPARK OPCO LLC Organization | Skilled Nursing Facility | 307 N 5TH ST MARYVILLE, TN 37804 (865) 983-0261 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962927616, enumerated in the NPI registry as an "organization" on August 03, 2017
The provider is located at 307 N 5th St Maryville, Tn 37804 and the phone number is (865) 983-0261
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
This NPI record was last updated on August 03, 2017. 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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