PREMIER OPERATING FOUNTAIN PARK, LLC
NPI 1073409165
Assisted Living Facility in Bryan, OH

NPI Status: Active since June 16, 2025

Contact Information

1391 N MAIN ST
BRYAN, OH
ZIP 43506
Phone: (419) 633-9191
Fax: (419) 633-9192

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  • Organization
  • Assisted Living Facility

About PREMIER OPERATING FOUNTAIN PARK, LLC

This page provides the complete NPI Profile along with additional information for Premier Operating Fountain Park, Llc, a provider established in Bryan, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073409165 assigned on June 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Wayne Kaplan (Owner)

NPI
1073409165
Provider Name
PREMIER OPERATING FOUNTAIN PARK, LLC
Entity Type
Organization
Location Address
1391 N MAIN ST BRYAN, OH 43506
Location Phone
(419) 633-9191
Location Fax
(419) 633-9192
Mailing Address
1391 N MAIN ST BRYAN, OH 43506
Mailing Phone
(419) 633-9191
Mailing Fax
(419) 633-9192
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-16-2025
Last Update Date
05-26-2026
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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
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

WAYNE KAPLAN

Authorized Official Title
OWNER
Authorized Official Phone
(516) 359-1066

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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 1073409165, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 7 → 14 → 5 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 8 + 0 + 1 + 8 + 1 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073409165.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
1391 N MAIN ST
BRYAN, OH 43506
Physical Therapist
1391 N MAIN ST
BRYAN, OH 43506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073409165, enumerated as an "organization" on June 16, 2025.

The provider is located at 1391 N MAIN ST BRYAN, OH 43506 and the phone number is (419) 633-9191.

Assisted Living Facility with taxonomy code 310400000X.