COMMUNITY BASED RESIDENTIAL FACILITY
NPI 1003064064
Clinic/Center - Community Health in Milwaukee, WI

NPI Status: Active since September 03, 2008

Contact Information

3910 W BURLEIGH ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 445-3607
Fax: (414) 445-6575

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  • Organization
  • Clinic/Center
  • Community Health

About COMMUNITY BASED RESIDENTIAL FACILITY

This page provides the complete NPI Profile along with additional information for Community Based Residential Facility, a primary care provider established in Milwaukee, Wisconsin operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1003064064 assigned on September 2008. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Community Based Residential Facility. The authorized official of this NPI record is Mrs. Shirley Temple Gladney Rn (Administrator)

NPI
1003064064
Provider Legal Name
PRIMROSE RESIDENTIAL FACILITY
Other Organization Name
COMMUNITY BASED RESIDENTIAL FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3910 W BURLEIGH ST MILWAUKEE, WI 53210
Location Phone
(414) 445-3607
Location Fax
(414) 445-6575
Mailing Address
3910 W BURLEIGH ST MILWAUKEE, WI 53210
Mailing Phone
(414) 445-3607
Mailing Fax
(414) 445-6575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2008
Last Update Date
09-03-2008
Code Navigator

A primary care provider (PCP) like Community Based Residential Facility sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License State
WI

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

MRS. SHIRLEY TEMPLE GLADNEY RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(414) 445-3607

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003064064, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 6 + 8 + 0 + 1 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003064064.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003064064, enumerated as an "organization" on September 03, 2008.

The provider is located at 3910 W BURLEIGH ST MILWAUKEE, WI 53210 and the phone number is (414) 445-3607.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.