COUNTRY MANOR LIVING
NPI 1245493816
Nursing Care in Jerome, PA

NPI Status: Active since July 03, 2008

Contact Information

170 PHILLIPS ST
JEROME, PA
ZIP 15937
Phone: (814) 479-2355
Fax: (814) 479-4047

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  • Organization
  • Nursing Care

About COUNTRY MANOR LIVING

This page provides the complete NPI Profile along with additional information for Country Manor Living, a provider established in Jerome, Pennsylvania operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1245493816 assigned on July 2008. The practitioner's primary taxonomy code is 251J00000X with license number 001320 (PA). 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 Mrs. Lorie Ann Hornick (Administrator)

NPI
1245493816
Provider Name
COUNTRY MANOR LIVING
Entity Type
Organization
Location Address
170 PHILLIPS ST JEROME, PA 15937
Location Phone
(814) 479-2355
Location Fax
(814) 479-4047
Mailing Address
170 PHILLIPS ST PO BOX 430 JEROME, PA 15937
Mailing Phone
(814) 479-2355
Mailing Fax
(814) 479-4047
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2008
Last Update Date
07-03-2008
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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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
001320
License State
PA
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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. LORIE ANN HORNICK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(814) 479-2355

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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.
1245493816
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228589682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 9 + 6 + 8 + 2 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1245493816 is valid because the calculated check digit 6 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 1245493816, enumerated as an "organization" on July 03, 2008.

The provider is located at 170 PHILLIPS ST JEROME, PA 15937 and the phone number is (814) 479-2355.

Nursing Care with taxonomy code 251J00000X.