MOUNT VERNON OF SOUTH PARK
NPI 1285674705
Assisted Living Facility in South Park, PA

NPI Status: Active since June 07, 2006

Contact Information

1400 RIGGS RD
SOUTH PARK, PA
ZIP 15129
Phone: (412) 655-3535
Fax: (412) 655-4178

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  • Organization
  • Assisted Living Facility

About MOUNT VERNON OF SOUTH PARK

This page provides the complete NPI Profile along with additional information for Mount Vernon Of South Park, a provider established in South Park, Pennsylvania operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1285674705 assigned on June 2006. The practitioner's primary taxonomy code is 310400000X with license number 000370 (PA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Mount Vernon Of South Park. The authorized official of this NPI record is Bruce J Mackey Jr. (President & Chief Executive Officer)

NPI
1285674705
Provider Legal Name
FIVE STAR QUALITY CARE - GHV, LLC
Other Organization Name
MOUNT VERNON OF SOUTH PARK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1400 RIGGS RD SOUTH PARK, PA 15129
Location Phone
(412) 655-3535
Location Fax
(412) 655-4178
Mailing Address
400 CENTRE ST NEWTON, MA 02458
Mailing Phone
(617) 796-8387
Mailing Fax
(412) 655-4178
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-07-2006
Last Update Date
06-27-2016
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
000370
License State
PA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

BRUCE J MACKEY JR.

Authorized Official Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(617) 796-8214

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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.
1285674705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165127870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 8 + 7 + 0 + 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 1285674705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

SUNDANCE REHABILITATION CORPORATION

Assisted Living Facility

1400 RIGGS RD
SUITE 2
SOUTH PARK, PA
ZIP 15129

(412) 653-3242

JENNIFER A LASKOSKY

Occupational Therapist

1400 RIGGS RD
SOUTH PARK, PA
ZIP 15129

(412) 655-4256

HANNAH ELIZABETH BOWERSOX OTR/L

Occupational Therapist

1400 RIGGS RD
SOUTH PARK, PA
ZIP 15129

(412) 655-4256

KELLI HABERMAN OTR/L

Occupational Therapist

1400 RIGGS RD
SOUTH PARK, PA
ZIP 15129

(412) 655-3535

SNH PENN TENANT LLC

Assisted Living Facility

1400 RIGGS RD
LIBRARY, PA
ZIP 15129

(412) 655-3535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285674705, enumerated as an "organization" on June 07, 2006.

The provider is located at 1400 RIGGS RD SOUTH PARK, PA 15129 and the phone number is (412) 655-3535.

Assisted Living Facility with taxonomy code 310400000X.