FIDELIS ASSISTED LIVING AND MEMORY CARE
NPI 1104174267
Assisted Living Facility in Oklahoma City, OK

NPI Status: Active since August 21, 2012

Contact Information

4825 NW 23RD ST
OKLAHOMA CITY, OK
ZIP 73127
Phone: (405) 945-0010
Fax: (405) 947-6542

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility

About FIDELIS ASSISTED LIVING AND MEMORY CARE

This page provides the complete NPI Profile along with additional information for Fidelis Assisted Living And Memory Care, a provider established in Oklahoma City, Oklahoma operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104174267 assigned on August 2012. The practitioner's primary taxonomy code is 310400000X with license number AL5516 (OK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Fidelis Assisted Living And Memory Care. The authorized official of this NPI record is Shantharam Darbe (Owner/manager)

NPI: 1104174267
Provider Legal Name: FIDELIS ONE LLC
Other Organization Name: FIDELIS ASSISTED LIVING AND MEMORY CARE
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 4825 NW 23RD ST OKLAHOMA CITY, OK 73127
Location Phone: (405) 945-0010
Location Fax: (405) 947-6542
Mailing Address: 4601 N CLASSEN BLVD OKLAHOMA CITY, OK 73118
Mailing Phone: (405) 840-9991
Mailing Fax: (405) 947-6542
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-21-2012
Last Update Date: 08-24-2012
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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.: AL5516
License State: OK
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: SHANTHARAM DARBE
Authorized Official Title: OWNER/MANAGER
Authorized Official Phone: (405) 840-9991

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 1104174267, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 1 → 2 4 → 8 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 + 2 + 7 + 8 + 2 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1104174267.