SAGEBRUSH LIVING CENTER
NPI 1174589683
Intermediate Care Facility, Mental Illness in Stamford, TX

NPI Status: Active since April 24, 2006

Contact Information

1101 COLUMBIA
STAMFORD, TX
ZIP 79553
Phone: (325) 773-2791

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About SAGEBRUSH LIVING CENTER

This page provides the complete NPI Profile along with additional information for Sagebrush Living Center, a provider established in Stamford, Texas operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1174589683 assigned on April 2006. The practitioner's primary taxonomy code is 310500000X with license number 003705 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Sagebrush Living Center. The authorized official of this NPI record is Mr. Mike Hawker (Cfo)

NPI
1174589683
Provider Legal Name
SAGEBRUSH LIVING CENTER LTD
Other Organization Name
SAGEBRUSH LIVING CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1101 COLUMBIA STAMFORD, TX 79553
Location Phone
(325) 773-2791
Mailing Address
845 PROTON RD SAN ANTONIO, TX 78258
Mailing Phone
(210) 340-7155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2006
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
License No.
003705
License State
TX
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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

MR. MIKE HAWKER

Authorized Official Title
CFO
Authorized Official Phone
(210) 340-7155

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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 1174589683, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 0 + 8 + 1 + 8 + 6 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174589683.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174589683, enumerated as an "organization" on April 24, 2006.

The provider is located at 1101 COLUMBIA STAMFORD, TX 79553 and the phone number is (325) 773-2791.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.