NEVADA HABILITATION CENTER
NPI 1114971702
General Practice in Nevada, MO

NPI Status: Active since May 19, 2006

Contact Information

2323 N ASH ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-7833
Fax: (417) 448-1138

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  • Organization
  • General Practice

About NEVADA HABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Nevada Habilitation Center, a primary care provider established in Nevada, Missouri operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1114971702 assigned on May 2006. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Nevada Habilitation Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Nevada Habilitation Center. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1114971702
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
NEVADA HABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2323 N ASH ST NEVADA, MO 64772
Location Phone
(417) 667-7833
Location Fax
(417) 448-1138
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
(417) 448-1138
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-19-2006
Last Update Date
08-26-2020
Code Navigator

A primary care provider (PCP) like Nevada Habilitation Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
501499917MEDICAID (05)MO 

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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 1114971702, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 1 → 2 9 → 18 → 9 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 7 + 2 + 7 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114971702.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
2323 N ASH ST, NEVADA HABILITATION CENTER
NEVADA, MO 64772
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Intermediate Care Facility, Intellectual Disabilities
2323 N ASH ST
NEVADA, MO 64772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114971702, enumerated as an "organization" on May 19, 2006.

The provider is located at 2323 N ASH ST NEVADA, MO 64772 and the phone number is (417) 667-7833.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.