MARQUIS PLACE ASSISTED LIVING
NPI 1336360825
Home Health in Concordia, KS

NPI Status: Active since May 01, 2007

Contact Information

205 W 21ST ST
CONCORDIA, KS
ZIP 66901
Phone: (785) 243-2255
Fax: (785) 243-2409

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  • Organization
  • Home Health
  • CLIA Number: 17D0984308
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-18-2027

About MARQUIS PLACE ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Marquis Place Assisted Living, a provider established in Concordia, Kansas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1336360825 assigned on May 2007. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Sonia S Derusseau Nursing Home Adm (Executive Director)

NPI
1336360825
Provider Name
MARQUIS PLACE ASSISTED LIVING
Entity Type
Organization
Location Address
205 W 21ST ST CONCORDIA, KS 66901
Location Phone
(785) 243-2255
Location Fax
(785) 243-2409
Mailing Address
205 W 21ST ST CONCORDIA, KS 66901
Mailing Phone
(785) 243-2255
Mailing Fax
(785) 243-2409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2007
Last Update Date
08-22-2020
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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. SONIA S DERUSSEAU NURSING HOME ADM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(785) 243-2255

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
17D0984308
Facility Type
Other
Certificate Effective Date
March 19, 2025
Certificate Expiration Date
March 18, 2027
Laboratory Director
KIMBERLY M. BROWNELL, RN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marquis Place Assisted Living 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.

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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 1336360825, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
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 3 → 6 3 → 6 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 6 + 6 + 0 + 8 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1336360825.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336360825, enumerated as an "organization" on May 01, 2007.

The provider is located at 205 W 21ST ST CONCORDIA, KS 66901 and the phone number is (785) 243-2255.

Home Health with taxonomy code 251E00000X.