ROGER A MARTIN
NPI 1023165008
Assisted Living Facility in Sturgeon, MO

NPI Status: Active since January 04, 2007

Contact Information

315 E. STONE ST.
PO 328
STURGEON, MO
ZIP 65284
Phone: (573) 687-3012
Fax: (573) 687-1250

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  • Organization
  • Assisted Living Facility

About ROGER A MARTIN

This page provides the complete NPI Profile along with additional information for Roger A Martin, a provider established in Sturgeon, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1023165008 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number 032267 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Roger Allen Martin (Owner)

NPI
1023165008
Provider Name
ROGER A MARTIN
Entity Type
Organization
Location Address
315 E. STONE ST. PO 328 STURGEON, MO 65284
Location Phone
(573) 687-3012
Location Fax
(573) 687-1250
Mailing Address
315 E. STONE ST. PO 328 STURGEON, MO 65284
Mailing Phone
(573) 687-3012
Mailing Fax
(573) 687-1250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2007
Last Update Date
06-24-2008
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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.
032267
License State
MO
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. ROGER ALLEN MARTIN

Authorized Official Title
OWNER
Authorized Official Phone
(573) 687-3012

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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.
1023165008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043261000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 6 + 1 + 0 + 0 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1023165008 is valid because the calculated check digit 8 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 1023165008, enumerated as an "organization" on January 04, 2007.

The provider is located at 315 E. STONE ST. PO 328 STURGEON, MO 65284 and the phone number is (573) 687-3012.

Assisted Living Facility with taxonomy code 310400000X.