EVGUENI ROUDACHEVSKI, D.O.
NPI 1073914719
Assisted Living Facility in Little Rock, AR

NPI Status: Active since September 12, 2014

Contact Information

11912 KANIS RD STE F2
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 227-8020
Fax: (501) 227-8826

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  • Organization
  • Assisted Living Facility

About EVGUENI ROUDACHEVSKI, D.O.

This page provides the complete NPI Profile along with additional information for Evgueni Roudachevski, D.o., a provider established in Little Rock, Arkansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073914719 assigned on September 2014. The practitioner's primary taxonomy code is 310400000X with license number A03199 (AR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Hapsy Glover Apn (Apn)

NPI
1073914719
Provider Name
EVGUENI ROUDACHEVSKI, D.O.
Entity Type
Organization
Location Address
11912 KANIS RD STE F2 LITTLE ROCK, AR 72211
Location Phone
(501) 227-8020
Location Fax
(501) 227-8826
Mailing Address
11912 KANIS RD STE F2 LITTLE ROCK, AR 72211
Mailing Phone
(501) 227-8020
Mailing Fax
(501) 227-8826
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2014
Last Update Date
09-12-2014
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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.
A03199
License State
AR
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)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

A03199 (AR)

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

MRS. HAPSY GLOVER APN

Authorized Official Title
APN
Authorized Official Phone
(501) 227-8020

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
5V793MEDICARE UPIN (02)AR 
1568763514OTHER (01)ARNPI
186702758MEDICAID (05)AR 

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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 1073914719, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
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 7 → 14 → 5 9 → 18 → 9 4 → 8 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 + 4 + 3 + 1 + 8 + 1 + 8 + 7 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073914719.

Other Providers at the Same Location


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

Nurse Practitioner (Primary Care)
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Family Medicine
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073914719, enumerated as an "organization" on September 12, 2014.

The provider is located at 11912 KANIS RD STE F2 LITTLE ROCK, AR 72211 and the phone number is (501) 227-8020.

Assisted Living Facility with taxonomy code 310400000X.

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