COMMUNITY LIVING CENTER
NPI 1003846478
Nursing Facility/Intermediate Care Facility in Centerfield, UT

NPI Status: Active since July 03, 2006

Contact Information

10 W 400 S
CENTERFIELD, UT
ZIP 84622
Phone: (435) 528-2800
Fax: (435) 528-2828

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About COMMUNITY LIVING CENTER

This page provides the complete NPI Profile along with additional information for Community Living Center, a provider established in Centerfield, Utah operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1003846478 assigned on July 2006. The practitioner's primary taxonomy code is 313M00000X with license number 2004-NCF-67 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Community Living Center. The authorized official of this NPI record is Cindy N Peterson Hfa (Administrator/owner)

NPI
1003846478
Provider Legal Name
MAYFIELD COMMUNITY CARE CENTER, INC.
Other Organization Name
COMMUNITY LIVING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10 W 400 S CENTERFIELD, UT 84622
Location Phone
(435) 528-2800
Location Fax
(435) 528-2828
Mailing Address
PO BOX 99 MAYFIELD, UT 84643
Mailing Phone
(435) 528-2800
Mailing Fax
(435) 528-2828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2006
Last Update Date
07-01-2011
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
2004-NCF-67
License State
UT
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

CINDY N PETERSON HFA

Authorized Official Title
ADMINISTRATOR/OWNER
Authorized Official Phone
(435) 528-2800

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
=========008MEDICAID (05)UT 
465175MEDICARE OSCAR/CERTIFICATION (06)UT 

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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 1003846478, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 1 + 6 + 4 + 1 + 2 + 4 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1003846478.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003846478, enumerated as an "organization" on July 03, 2006.

The provider is located at 10 W 400 S CENTERFIELD, UT 84622 and the phone number is (435) 528-2800.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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