COUNTRY PINES PHASE II LC
NPI 1104037563
Assisted Living Facility in Clinton, UT

NPI Status: Active since May 25, 2007

Contact Information

1706 W 1800 N
CLINTON, UT
ZIP 84015
Phone: (801) 773-0990

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  • Organization
  • Assisted Living Facility

About COUNTRY PINES PHASE II LC

This page provides the complete NPI Profile along with additional information for Country Pines Phase Ii Lc, a provider established in Clinton, Utah operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104037563 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number 006871 (UT). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Myrna L Mcclellan (Administrator)

NPI
1104037563
Provider Name
COUNTRY PINES PHASE II LC
Entity Type
Organization
Location Address
1706 W 1800 N CLINTON, UT 84015
Location Phone
(801) 773-0990
Mailing Address
1706 W 1800 N CLINTON, UT 84015
Mailing Phone
(801) 773-0990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2007
Last Update Date
08-22-2020
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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.
006871
License State
UT
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

MYRNA L MCCLELLAN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(801) 773-0990

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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 1104037563, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 3 + 1 + 4 + 5 + 1 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104037563.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104037563, enumerated as an "organization" on May 25, 2007.

The provider is located at 1706 W 1800 N CLINTON, UT 84015 and the phone number is (801) 773-0990.

Assisted Living Facility with taxonomy code 310400000X.