VASSAR COMFORT CARE LLC
NPI 1124854112
Nursing Home Administrator in Vassar, MI

NPI Status: Active since September 09, 2024

Contact Information

5830 FRANKENMUTH RD
VASSAR, MI
ZIP 48768
Phone: (989) 882-9495

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  • Organization
  • Nursing Home Administrator
  • CLIA Number: 23D2204608
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 12-08-2026

About VASSAR COMFORT CARE LLC

This page provides the complete NPI Profile along with additional information for Vassar Comfort Care Llc, a provider established in Vassar, Michigan operating as a Nursing Home Administrator. The healthcare provider is registered in the NPI registry with number 1124854112 assigned on September 2024. The practitioner's primary taxonomy code is 376G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kory John Feetham (Chief Operating Officer)

NPI
1124854112
Provider Name
VASSAR COMFORT CARE LLC
Entity Type
Organization
Location Address
5830 FRANKENMUTH RD VASSAR, MI 48768
Location Phone
(989) 882-9495
Mailing Address
5830 FRANKENMUTH RD VASSAR, MI 48768
Mailing Phone
(989) 882-9495
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2024
Last Update Date
09-09-2024
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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

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
Nursing Service Related Providers
Taxonomy Description
An individual, often licensed by the state, who is responsible for the management of a nursing home.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

KORY JOHN FEETHAM

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(810) 931-1961

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
23D2204608
Facility Type
Assisted Living Facility
Certificate Effective Date
December 09, 2024
Certificate Expiration Date
December 08, 2026
Laboratory Director
EMILY M. MATUSZAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vassar Comfort Care Llc 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.

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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 1124854112, 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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
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 2 → 4 8 → 16 → 7 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 6 + 5 + 8 + 1 + 2 + 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 1124854112.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Hospice Care, Community Based
5830 FRANKENMUTH RD
VASSAR, MI 48768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124854112, enumerated as an "organization" on September 09, 2024.

The provider is located at 5830 FRANKENMUTH RD VASSAR, MI 48768 and the phone number is (989) 882-9495.

Nursing Home Administrator with taxonomy code 376G00000X.