ROOTS RESIDENTIAL ADULT FAMILY HOME LLC
NPI 1346790110
Custodial Care Facility - Adult Care Home in Racine, WI

NPI Status: Active since October 05, 2016

Contact Information

1715 LASALLE ST UPPR
RACINE, WI
ZIP 53402
Phone: (262) 800-1457
Fax: (262) 383-2131

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About ROOTS RESIDENTIAL ADULT FAMILY HOME LLC

This page provides the complete NPI Profile along with additional information for Roots Residential Adult Family Home Llc, a provider established in Racine, Wisconsin operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1346790110 assigned on October 2016. The practitioner's primary taxonomy code is 311ZA0620X with license number 0016034 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Jerodd Taylor Mba Cpa (Owner)

NPI
1346790110
Provider Name
ROOTS RESIDENTIAL ADULT FAMILY HOME LLC
Entity Type
Organization
Location Address
1715 LASALLE ST UPPR RACINE, WI 53402
Location Phone
(262) 800-1457
Location Fax
(262) 383-2131
Mailing Address
PO BOX 44035 RACINE, WI 53404
Mailing Phone
(262) 880-5606
Mailing Fax
(262) 383-2131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2016
Last Update Date
10-05-2016
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
0016034
License State
WI
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

MR. JERODD TAYLOR MBA CPA

Authorized Official Title
OWNER
Authorized Official Phone
(262) 880-5606

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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 1346790110, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
0
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 4 → 8 7 → 14 → 5 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 4 + 9 + 0 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1346790110.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346790110, enumerated as an "organization" on October 05, 2016.

The provider is located at 1715 LASALLE ST UPPR RACINE, WI 53402 and the phone number is (262) 800-1457.

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