WEDGEWOOD SOUTH ASSISTED LIVING
NPI 1053468082
Assisted Living Facility in Lubbock, TX

NPI Status: Active since January 04, 2007

Contact Information

9812 VINTON AVE
LUBBOCK, TX
ZIP 79424
Phone: (806) 798-1011
Fax: (806) 794-0234

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  • Organization
  • Assisted Living Facility

About WEDGEWOOD SOUTH ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Wedgewood South Assisted Living, a provider established in Lubbock, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1053468082 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number 030082 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Wedgewood South Assisted Living. The authorized official of this NPI record is Mr. John Berkely (Vice President Senior Services)

NPI
1053468082
Provider Legal Name
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Other Organization Name
WEDGEWOOD SOUTH ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9812 VINTON AVE LUBBOCK, TX 79424
Location Phone
(806) 798-1011
Location Fax
(806) 794-0234
Mailing Address
PO BOX 140767 AUSTIN, TX 78714
Mailing Phone
(512) 459-1000
Mailing Fax
(806) 794-0234
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-04-2007
Last Update Date
02-12-2009
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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.
030082
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.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

030086 (TX)
2310400000XNursing & Custodial Care Facilities

Assisted Living Facility

030081 (TX)
3310400000XNursing & Custodial Care Facilities

Assisted Living Facility

100083 (TX)

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. JOHN BERKELY

Authorized Official Title
VICE PRESIDENT SENIOR SERVICES
Authorized Official Phone
(512) 459-1000

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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 1053468082, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 4 → 8 8 → 16 → 7 8 → 16 → 7

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 + 8 + 6 + 1 + 6 + 0 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053468082.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053468082, enumerated as an "organization" on January 04, 2007.

The provider is located at 9812 VINTON AVE LUBBOCK, TX 79424 and the phone number is (806) 798-1011.

Assisted Living Facility with taxonomy code 310400000X.