EVERGREEN MANOR
NPI 1144409988
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Montpelier, OH

NPI Status: Active since October 29, 2007

Contact Information

924 CHARLIES WAY
MONTPELIER, OH
ZIP 43543
Phone: (419) 485-8307

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

Organization
Durable Medical Equipment & Medical Supp...
Oxygen Equipment & Supplies

About EVERGREEN MANOR

This page provides the complete NPI Profile along with additional information for Evergreen Manor, a provider established in Montpelier, Ohio operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1144409988 assigned on October 2007. The practitioner's primary taxonomy code is 332BX2000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Evergreen Manor. The authorized official of this NPI record is Keith Yoder (Cfo)

NPI: 1144409988
Provider Legal Name: ESSEX HEALTHCARE CORPORATION
Other Organization Name: EVERGREEN MANOR
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 924 CHARLIES WAY MONTPELIER, OH 43543
Location Phone: (419) 485-8307
Mailing Address: 1 EASTON OVAL SUITE 300 COLUMBUS, OH 43219
Mailing Phone: (614) 416-0600
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-29-2007
Last Update Date: 10-29-2007
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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: Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies
Taxonomy Code: 332BX2000X
Type: Suppliers

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: KEITH YODER
Authorized Official Title: CFO
Authorized Official Phone: (614) 416-0600

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
2644044	MEDICAID (05)	OH

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.
1	1	4	4	4	0	9	9	8	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	8	4	8	0	18	9	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 8 + 0 + 1 + 8 + 9 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8									8

The NPI number 1144409988 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.