DIERKSEN MEMORIAL HOSPICE NPI 1104088632
Hospice Care, Community Based in Texarkana, AR
- Organization
- Hospice Care, Community Based
- CLIA Number 04D2199772
- CLIA Certificate of Waiver
About DIERKSEN MEMORIAL HOSPICE
| NPI | 1104088632 |
| Provider Legal Name | DIERKSEN OF TEXARKANA ARKANSAS LLC |
| Other Organization Name | DIERKSEN MEMORIAL HOSPICE |
| Other Name Type | Doing Business As (3) |
| Location Address | 4613 PARKWAY DR STE 20 TEXARKANA, AR 71854 |
| Location Phone | (870) 773-4353 |
| Mailing Address | 500 FAULCONER DR STE 200 CHARLOTTESVILLE, VA 22903 |
| Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 06-26-2008 |
| Last Update Date | 01-09-2020 |
| Code Navigator |
Dierksen Memorial Hospice is a provider established in Texarkana, Arkansas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1104088632 assigned on June 2008. The practitioner's primary taxonomy code is 251G00000X with license number AR 4279 (AR). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Dierksen Memorial Hospice. The authorized official of this NPI record is John Hunter (President & Ceo)
According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 05-03-2005 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.
The CLIA number of Dierksen Memorial Hospice is 04D2199772 registered as a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Dierksen Memorial Hospice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Business Address
4613 PARKWAY DR STE 20
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-4353
Mailing Address
500 FAULCONER DR STE 200
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 977-9711
Location Map
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 | Hospice Care, Community Based |
| Taxonomy Code | 251G00000X |
| Type | Agencies |
| License No. | AR 4279 |
| License State | AR |
Hospice Care Information
The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.
| CMS Certification Number (CCN) | 41572 |
| Ownership Type | For-Profit |
| Medicare Certification Date | 05-03-2005 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 77 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year 1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage | Yes |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year 1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage | Yes |
| Care Provided in Assisted Living Facility Percentage of days patients received care in an assisted living facility | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Home Percentage of days patients received care in home | 65 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Inpatient Hospital Facility Percentage of days patients received care in an inpatient hospital | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Nursing Facility Percentage of days patients received care in a nursing facility | 35 |
| Care Provided in All other locations Percentage of days patients received care in other locations | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 100 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 100 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 100 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 94.6 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 100 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 95.4 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | 100 |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 93.7 |
| Hospice Visits in the Last Days of Life | 208 |
| Hospice Visits in the Last Days of Life Facility observed rate | 70.7 |
| Hospice Care Index Overall Score Facility observed rate | 9 |
| CHC/GIP provided (%days) | 61,230 |
| CHC/GIP provided (%days) Facility observed rate | 0.3 |
| CHC/GIP provided (%days) | 73 |
| Gaps in nursing visits (% elections) | 336 |
| Gaps in nursing visits (% elections) Facility observed rate | 74.4 |
| Gaps in nursing visits (% elections) | 86 |
| Early live discharges (% live discharges) | 89 |
| Early live discharges (% live discharges) Facility observed rate | 7.9 |
| Early live discharges (% live discharges) | 57 |
| Late live discharges (% live discharges) | 89 |
| Late live discharges (% live discharges) Facility observed rate | 47.2 |
| Late live discharges (% live discharges) | 84 |
| Burdensome transitions, Type 1(% live discharges) | 89 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 34.8 |
| Burdensome transitions, Type 1 (% live discharges) | 100 |
| Burdensome transitions, Type 2(% live discharges) | 89 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 3.4 |
| Burdensome transitions, Type 2 (% live discharges) | 76 |
| Per-beneficiary spending (U.S. dollars $) | 444 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 19,809 |
| Per-beneficiary spending (U.S. dollars $) | 82 |
| Nurse care minutes per routine home care days (minutes) | 60,629 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 9.7 |
| Nurse care minutes per routine home care days (minutes) | 16 |
| Skilled nursing minutes on weekends (% minutes) | 589,155 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 7.6 |
| Skilled nursing minutes on weekends (% minutes) | 44 |
| Visits near death (% decedents) | 287 |
| Visits near death (% decedents) Facility observed rate | 90.6 |
| Visits near death (% decedents) | 36 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 16 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 28 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | 10 |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 18 |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | 11 |
| Provided Routine Home Care and other levels of care Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level | Yes |
| Provided Routine Home Care only The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level | No |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
| CLIA Number | 04D2199772 |
| Facility Type | HOSPICE |
| Certificate Type | Certificate of Waiver |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 8 | 8 | 6 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 8 | 16 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 8 + 1 + 6 + 6 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1104088632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is DIERKSEN MEMORIAL HOSPICE NPI number?
The NPI number assigned to this healthcare provider is 1104088632, enumerated in the NPI registry as an "organization" on June 26, 2008
Where is the provider located?
The provider is located at 4613 Parkway Dr Ste 20 Texarkana, Ar 71854 and the phone number is (870) 773-4353
What is the provider specialty code?
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
What is DIERKSEN MEMORIAL HOSPICE CLIA number?
The provider's CLIA number is 04D2199772 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
How do I update my NPI information?
This NPI record was last updated on June 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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