PLYMOUTH SQUARE
NPI 1255336533
Skilled Nursing Facility in Stockton, CA

NPI Status: Active since June 14, 2005

Contact Information

1319 N MADISON ST
STOCKTON, CA
ZIP 95202
Phone: (209) 466-4341
Fax: (209) 466-8853

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  • Organization
  • Skilled Nursing Facility

About PLYMOUTH SQUARE

This page provides the complete NPI Profile along with additional information for Plymouth Square, a provider established in Stockton, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1255336533 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X with license number 100000076 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Plymouth Square. The authorized official of this NPI record is Stuart Hartman (V.p. Of Operations)

NPI
1255336533
Provider Legal Name
STOCKTON CONGREGATIONAL HOMES
Other Organization Name
PLYMOUTH SQUARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1319 N MADISON ST STOCKTON, CA 95202
Location Phone
(209) 466-4341
Location Fax
(209) 466-8853
Mailing Address
1319 N MADISON ST STOCKTON, CA 95202
Mailing Phone
(209) 466-4341
Mailing Fax
(209) 466-8853
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2005
Last Update Date
09-16-2014
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
100000076
License State
CA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

STUART HARTMAN

Authorized Official Title
V.P. OF OPERATIONS
Authorized Official Phone
(562) 257-5100

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
1255336533MEDICAID (05)CA 
390300536OTHER (01)CARCFE
555692MEDICARE OSCAR/CERTIFICATION (06)CA 

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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 1255336533, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
3
Doubled → 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 5 → 10 → 1 3 → 6 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 2 + 5 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255336533.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Occupational Therapist
1319 N MADISON ST, PLYMOUTH SQUARE
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Assisted Living Facility
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Physical Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapist
1319 N MADISON ST
STOCKTON, CA 95202
Occupational Therapy Assistant
1319 N MADISON ST
STOCKTON, CA 95202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255336533, enumerated as an "organization" on June 14, 2005.

The provider is located at 1319 N MADISON ST STOCKTON, CA 95202 and the phone number is (209) 466-4341.

Skilled Nursing Facility with taxonomy code 314000000X.

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