MOUNTAIN MANOR ASSISTED LIVING, LLC
NPI 1134251572
Assisted Living Facility in Burnsville, NC

NPI Status: Active since March 12, 2007

Contact Information

270 LOVE FOX ROAD
BURNSVILLE, NC
ZIP 28714
Phone: (828) 682-3417

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  • Organization
  • Assisted Living Facility

About MOUNTAIN MANOR ASSISTED LIVING, LLC

This page provides the complete NPI Profile along with additional information for Mountain Manor Assisted Living, Llc, a provider established in Burnsville, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1134251572 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X with license number HAL 100-002 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ronald B Dodson (President)

NPI
1134251572
Provider Name
MOUNTAIN MANOR ASSISTED LIVING, LLC
Entity Type
Organization
Location Address
270 LOVE FOX ROAD BURNSVILLE, NC 28714
Location Phone
(828) 682-3417
Mailing Address
PO BOX 9790 ASHEVILLE, NC 28815
Mailing Phone
(336) 416-7149
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
04-17-2008
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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.
HAL 100-002
License State
NC
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.

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

RONALD B DODSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(336) 416-7149

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
7804296MEDICAID (05)NC 

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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.
1134251572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164452514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 5 + 2 + 5 + 1 + 4 + 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 = 22

The NPI number 1134251572 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

The NPI number assigned to this healthcare provider is 1134251572, enumerated as an "organization" on March 12, 2007.

The provider is located at 270 LOVE FOX ROAD BURNSVILLE, NC 28714 and the phone number is (828) 682-3417.

Assisted Living Facility with taxonomy code 310400000X.

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