JACKSBORO HEALTH CARE CENTER
NPI 1053308841
Assisted Living Facility in Jacksboro, TX

NPI Status: Active since October 05, 2005

Contact Information

211 E JASPER ST
JACKSBORO, TX
ZIP 76458
Phone: (940) 567-2686
Fax: (940) 567-5038

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  • Organization
  • Assisted Living Facility

About JACKSBORO HEALTH CARE CENTER

This page provides the complete NPI Profile along with additional information for Jacksboro Health Care Center, a provider established in Jacksboro, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1053308841 assigned on October 2005. The practitioner's primary taxonomy code is 310400000X with license number 4888 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Pamela C. Uptergrove (Lvn)

NPI
1053308841
Provider Name
JACKSBORO HEALTH CARE CENTER
Entity Type
Organization
Location Address
211 E JASPER ST JACKSBORO, TX 76458
Location Phone
(940) 567-2686
Location Fax
(940) 567-5038
Mailing Address
211 E JASPER ST JACKSBORO, TX 76458
Mailing Phone
(940) 567-2686
Mailing Fax
(940) 567-5038
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2005
Last Update Date
08-22-2020
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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.
4888
License State
TX
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

MRS. PAMELA C. UPTERGROVE

Authorized Official Title
LVN
Authorized Official Phone
(940) 567-2686

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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 1053308841, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 5 → 10 → 1 3 → 6 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 + 1 + 0 + 3 + 6 + 0 + 1 + 6 + 8 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053308841.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist (Geriatrics)
211 E JASPER ST
JACKSBORO, TX 76458
Physical Therapy Assistant
211 E JASPER ST
JACKSBORO, TX 76458
Occupational Therapy Assistant
211 E JASPER ST
JACKSBORO, TX 76458
Skilled Nursing Facility
211 E JASPER ST
JACKSBORO, TX 76458
Skilled Nursing Facility
211 E JASPER ST
JACKSBORO, TX 76458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053308841, enumerated as an "organization" on October 05, 2005.

The provider is located at 211 E JASPER ST JACKSBORO, TX 76458 and the phone number is (940) 567-2686.

Assisted Living Facility with taxonomy code 310400000X.