MICHIGAN MASONIC HOME
NPI 1285465633
Family Medicine - Geriatric Medicine in Alma, MI

NPI Status: Active since August 08, 2024

Contact Information

1200 WRIGHT AVE
ALMA, MI
ZIP 48801
Phone: (989) 466-3864
Fax: (989) 463-8921

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • CLIA Number: 23D0928520
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-19-2027

About MICHIGAN MASONIC HOME

This page provides the complete NPI Profile along with additional information for Michigan Masonic Home, a primary care provider established in Alma, Michigan operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1285465633 assigned on August 2024. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle L Shaw (Health Information Services/clinic)

NPI
1285465633
Provider Name
MICHIGAN MASONIC HOME
Entity Type
Organization
Location Address
1200 WRIGHT AVE ALMA, MI 48801
Location Phone
(989) 466-3864
Location Fax
(989) 463-8921
Mailing Address
1200 WRIGHT AVE ALMA, MI 48801
Mailing Phone
(989) 466-3864
Mailing Fax
(989) 463-8921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2024
Last Update Date
08-08-2024
Code Navigator

A primary care provider (PCP) like Michigan Masonic Home sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO

*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

MICHELLE L SHAW

Authorized Official Title
HEALTH INFORMATION SERVICES/CLINIC
Authorized Official Phone
(989) 466-3864

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0928520
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 20, 2025
Certificate Expiration Date
May 19, 2027
Laboratory Director
PRAKASH SARVEPALLI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michigan Masonic Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MICHIGAN MASONIC HOME

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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 1285465633, 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
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
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 8 → 16 → 7 4 → 8 5 → 10 → 1 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 + 6 + 5 + 8 + 6 + 1 + 0 + 6 + 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 1285465633.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1200 WRIGHT AVE
ALMA, MI 48801
Skilled Nursing Facility
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Speech-Language Pathologist
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Occupational Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Physical Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Physical Therapist
1200 WRIGHT AVE
ALMA, MI 48801
Assisted Living Facility
1200 WRIGHT AVE
ALMA, MI 48801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285465633, enumerated as an "organization" on August 08, 2024.

The provider is located at 1200 WRIGHT AVE ALMA, MI 48801 and the phone number is (989) 466-3864.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.