VINTAGE COURT HEALTHCARE, INC.
NPI 1104648757
Skilled Nursing Facility in Modesto, CA

NPI Status: Active since October 25, 2024

Contact Information

3620-B DALE RD
MODESTO, CA
ZIP 95356
Phone: (209) 521-2094

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  • Organization
  • Skilled Nursing Facility

About VINTAGE COURT HEALTHCARE, INC.

This page provides the complete NPI Profile along with additional information for Vintage Court Healthcare, Inc., a provider established in Modesto, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1104648757 assigned on October 2024. The practitioner's primary taxonomy code is 314000000X. 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 Soon Burnam (Secretary)

NPI
1104648757
Provider Name
VINTAGE COURT HEALTHCARE, INC.
Entity Type
Organization
Location Address
3620-B DALE RD MODESTO, CA 95356
Location Phone
(209) 521-2094
Mailing Address
3620 DALE RD MODESTO, CA 95356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2024
Last Update Date
02-13-2025
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

SOON BURNAM

Authorized Official Title
SECRETARY
Authorized Official Phone
(949) 540-1249

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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 1104648757, 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
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 6 → 12 → 3 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 2 + 4 + 1 + 6 + 7 + 1 + 0 + 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 1104648757.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104648757, enumerated as an "organization" on October 25, 2024.

The provider is located at 3620-B DALE RD MODESTO, CA 95356 and the phone number is (209) 521-2094.

Skilled Nursing Facility with taxonomy code 314000000X.