COMFORT KEEPERS #697
NPI 1003128349
In Home Supportive Care in Lake Havasu City, AZ

NPI Status: Active since July 01, 2010

Contact Information

387 LAKE HAVASU AVE S
SUITE 102
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-0005
Fax: (928) 855-0075

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  • Organization
  • In Home Supportive Care

About COMFORT KEEPERS #697

This page provides the complete NPI Profile along with additional information for Comfort Keepers #697, a provider established in Lake Havasu City, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1003128349 assigned on July 2010. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Comfort Keepers #697. The authorized official of this NPI record is Mr. Christopher L Gamble (President)

NPI
1003128349
Provider Legal Name
BUENA SUERTE, INC.
Other Organization Name
COMFORT KEEPERS #697
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
387 LAKE HAVASU AVE S SUITE 102 LAKE HAVASU CITY, AZ 86403
Location Phone
(928) 855-0005
Location Fax
(928) 855-0075
Mailing Address
387 LAKE HAVASU AVE S SUITE 102 LAKE HAVASU CITY, AZ 86403
Mailing Phone
(928) 855-0005
Mailing Fax
(928) 855-0075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2010
Last Update Date
04-30-2011
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License State
AZ
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1347C00000XTransportation Services

Private Vehicle

(AZ)

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

MR. CHRISTOPHER L GAMBLE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(301) 639-3822

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
531351MEDICAID (05)AZ 

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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 1003128349, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 2 + 2 + 1 + 6 + 3 + 8 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003128349.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003128349, enumerated as an "organization" on July 01, 2010.

The provider is located at 387 LAKE HAVASU AVE S SUITE 102 LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 855-0005.

In Home Supportive Care with taxonomy code 253Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.