MANOR TENDER CARE
NPI 1033590567
Home Health in Cheyenne Wells, CO

NPI Status: Active since June 10, 2015

Contact Information

561 W 1ST ST N
CHEYENNE WELLS, CO
ZIP 80810
Phone: (719) 767-5602
Fax: (719) 767-5999

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  • Organization
  • Home Health
  • CLIA Number: 06D0721948
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 08-31-2024

About MANOR TENDER CARE

Manor Tender Care is a provider established in Cheyenne Wells, Colorado operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1033590567 assigned on June 2015. The practitioner's primary taxonomy code is 251E00000X with license number 04R708 (CO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Manor Tender Care. The authorized official of this NPI record is M F Snyder Ba, Nha (Administrator)

NPI
1033590567
Provider Legal Name
CHEYENNE COUNTY HOSPITAL DISTRICT
Other Organization Name
MANOR TENDER CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
561 W 1ST ST N CHEYENNE WELLS, CO 80810
Location Phone
(719) 767-5602
Location Fax
(719) 767-5999
Mailing Address
PO BOX 938 CHEYENNE WELLS, CO 80810
Mailing Phone
(719) 767-5602
Mailing Fax
(719) 767-5999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2015
Last Update Date
06-10-2015
Code Navigator

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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
04R708
License State
CO
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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)
1253Z00000XAgencies

In Home Supportive Care

04H568 (CO)

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

M F SNYDER BA, NHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(719) 767-5602

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0721948
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2022
Certificate Expiration Date
August 31, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Manor Tender Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1033590567
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631090512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 9 + 0 + 5 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1033590567 is valid because the calculated check digit 7 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 1033590567, enumerated in the NPI registry as an "organization" on June 10, 2015

The provider is located at 561 W 1st St N Cheyenne Wells, Co 80810 and the phone number is (719) 767-5602

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider's CLIA number is 06D0721948 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 10, 2015. 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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