MARDRAS MARVELOUS MISSION I LLC
NPI 1053796219
In Home Supportive Care in Saint Louis, MO

NPI Status: Active since July 29, 2015

Contact Information

3830 WASHINGTON BLVD
STE 109
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 659-9090
Fax: (314) 833-3170

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  • Organization
  • In Home Supportive Care

About MARDRAS MARVELOUS MISSION I LLC

This page provides the complete NPI Profile along with additional information for Mardras Marvelous Mission I Llc, a provider established in Saint Louis, Missouri operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1053796219 assigned on July 2015. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Shaunice Shelton Bsn Rn (Executive Director)

NPI
1053796219
Provider Name
MARDRAS MARVELOUS MISSION I LLC
Entity Type
Organization
Location Address
3830 WASHINGTON BLVD STE 109 SAINT LOUIS, MO 63108
Location Phone
(314) 659-9090
Location Fax
(314) 833-3170
Mailing Address
3830 WASHINGTON BLVD STE 109 SAINT LOUIS, MO 63108
Mailing Phone
(636) 465-3004
Mailing Fax
(314) 833-3170
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2015
Last Update Date
08-28-2016
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SHAUNICE SHELTON BSN RN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(314) 659-9090

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DHSSMEDICAID (05)MO 

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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 1053796219, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 7 → 14 → 5 6 → 12 → 3 1 → 2

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 + 4 + 9 + 1 + 2 + 2 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053796219.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
3830 WASHINGTON BLVD
SAINT LOUIS, MO 63108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053796219, enumerated as an "organization" on July 29, 2015.

The provider is located at 3830 WASHINGTON BLVD STE 109 SAINT LOUIS, MO 63108 and the phone number is (314) 659-9090.

In Home Supportive Care with taxonomy code 253Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.