REFLECTION LIVING OF HIDDEN LAKES
NPI 1174759575
Custodial Care Facility - Adult Care Home in Wichita, KS

NPI Status: Active since May 31, 2009

Contact Information

550 S CIRCLE LAKE RD
WICHITA, KS
ZIP 67209
Phone: (316) 992-2119
Fax: (316) 425-5531

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About REFLECTION LIVING OF HIDDEN LAKES

This page provides the complete NPI Profile along with additional information for Reflection Living Of Hidden Lakes, a provider established in Wichita, Kansas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1174759575 assigned on May 2009. The practitioner's primary taxonomy code is 311ZA0620X with license number B087155 (KS). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Susan Kay Engels Rn (Owner/operator)

NPI
1174759575
Provider Name
REFLECTION LIVING OF HIDDEN LAKES
Entity Type
Organization
Location Address
550 S CIRCLE LAKE RD WICHITA, KS 67209
Location Phone
(316) 992-2119
Location Fax
(316) 425-5531
Mailing Address
550 S CIRCLE LAKE RD WICHITA, KS 67209
Mailing Phone
(316) 992-2119
Mailing Fax
(316) 425-5531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2009
Last Update Date
06-01-2009
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
B087155
License State
KS
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

B087162 (KS)

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

MRS. SUSAN KAY ENGELS RN

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(316) 992-2119

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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.
1174759575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114414518514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 5 + 1 + 8 + 5 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1174759575 is valid because the calculated check digit 5 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 1174759575, enumerated as an "organization" on May 31, 2009.

The provider is located at 550 S CIRCLE LAKE RD WICHITA, KS 67209 and the phone number is (316) 992-2119.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.