HERITAGE LANE BEHAVIORAL ASSISTED LIVING
NPI 1053615906
Assisted Living Facility - Assisted Living, Mental Illness in Mesa, AZ

NPI Status: Active since January 07, 2011

Contact Information

1040 S LEBARON
MESA, AZ
ZIP 85210
Phone: (480) 307-8809
Fax: (480) 781-0019

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About HERITAGE LANE BEHAVIORAL ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Heritage Lane Behavioral Assisted Living, a provider established in Mesa, Arizona operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1053615906 assigned on January 2011. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Heritage Lane Behavioral Assisted Living. The authorized official of this NPI record is Mr. Reed T Gunnell (Owner)

NPI
1053615906
Provider Legal Name
HERITAGE LIFE CENTER LLC
Other Organization Name
HERITAGE LANE BEHAVIORAL ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1040 S LEBARON MESA, AZ 85210
Location Phone
(480) 307-8809
Location Fax
(480) 781-0019
Mailing Address
1040 S LEBARON MESA, AZ 85210
Mailing Phone
(480) 307-8809
Mailing Fax
(480) 781-0019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2011
Last Update Date
05-05-2022
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

AL7718C (AZ)

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. REED T GUNNELL

Authorized Official Title
OWNER
Authorized Official Phone
(480) 307-8809

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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 1053615906, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 6 → 12 → 3 5 → 10 → 1 0 → 0

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 + 1 + 2 + 1 + 1 + 0 + 9 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053615906.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053615906, enumerated as an "organization" on January 07, 2011.

The provider is located at 1040 S LEBARON MESA, AZ 85210 and the phone number is (480) 307-8809.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.