LEAKSVILLE REST HOME, LLC
NPI 1285054593
Custodial Care Facility - Adult Care Home in Eden, NC

NPI Status: Active since April 25, 2014

Contact Information

915 IRVING AVE
EDEN, NC
ZIP 27288
Phone: (336) 280-5637
Fax: (336) 635-9004

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About LEAKSVILLE REST HOME, LLC

This page provides the complete NPI Profile along with additional information for Leaksville Rest Home, Llc, a provider established in Eden, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1285054593 assigned on April 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL-079-096 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Pamela Arthur Clark (Sole Member Manager/administrator)

NPI
1285054593
Provider Name
LEAKSVILLE REST HOME, LLC
Entity Type
Organization
Location Address
915 IRVING AVE EDEN, NC 27288
Location Phone
(336) 280-5637
Location Fax
(336) 635-9004
Mailing Address
915 IRVING AVE EDEN, NC 27288
Mailing Phone
(336) 280-5637
Mailing Fax
(336) 635-9004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2014
Last Update Date
04-25-2014
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL-079-096
License State
NC
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.

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

PAMELA ARTHUR CLARK

Authorized Official Title
SOLE MEMBER MANAGER/ADMINISTRATOR
Authorized Official Phone
(336) 280-5637

Reviews for LEAKSVILLE REST HOME, LLC

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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 1285054593, 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
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 8 → 16 → 7 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 0 + 5 + 8 + 5 + 1 + 8 + 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 1285054593.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
915 IRVING AVE
EDEN, NC 27288
Custodial Care Facility (Adult Care Home)
915 IRVING AVE
EDEN, NC 27288

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285054593, enumerated as an "organization" on April 25, 2014.

The provider is located at 915 IRVING AVE EDEN, NC 27288 and the phone number is (336) 280-5637.

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