OAK RIDGE MANOR, INC
NPI 1083743629
Assisted Living Facility - Assisted Living, Mental Illness in Oak Ridge, MO

NPI Status: Active since March 02, 2007

Contact Information

5108 STATE HIGHWAY B
OAK RIDGE, MO
ZIP 63769
Phone: (573) 266-0206
Fax: (573) 334-8145

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

About OAK RIDGE MANOR, INC

This page provides the complete NPI Profile along with additional information for Oak Ridge Manor, Inc, a provider established in Oak Ridge, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1083743629 assigned on March 2007. The practitioner's primary taxonomy code is 3104A0625X with license number 033528 (MO). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tomi Sample (President)

NPI
1083743629
Provider Name
OAK RIDGE MANOR, INC
Entity Type
Organization
Location Address
5108 STATE HIGHWAY B OAK RIDGE, MO 63769
Location Phone
(573) 266-0206
Location Fax
(573) 334-8145
Mailing Address
210 FRANKS LN CAPE GIRARDEAU, MO 63701
Mailing Phone
(573) 334-7679
Mailing Fax
(573) 334-8145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2007
Last Update Date
09-11-2025
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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
License No.
033528
License State
MO
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

033528 (MO)

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

TOMI SAMPLE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(573) 334-7679

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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 1083743629, 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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
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 8 → 16 → 7 7 → 14 → 5 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 4 + 4 + 6 + 6 + 4 + 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 1083743629.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083743629, enumerated as an "organization" on March 02, 2007.

The provider is located at 5108 STATE HIGHWAY B OAK RIDGE, MO 63769 and the phone number is (573) 266-0206.

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