DERRICK DWAYNE EDWARDS
NPI 1366156614
Assisted Living Facility in Little Elm, TX

NPI Status: Active since January 11, 2023

Contact Information

2321 COOLMIST CREEK DR
LITTLE ELM, TX
ZIP 75068
Phone: (469) 481-6874
Fax: (214) 618-0724

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  • Individual
  • Male
  • Assisted Living Facility

About DERRICK EDWARDS

This page provides the complete NPI Profile along with additional information for Derrick Edwards, a provider established in Little Elm, Texas with a medical specialization in Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1366156614 assigned on January 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1366156614
Provider Name
DERRICK DWAYNE EDWARDS
Gender
Male
Entity Type
Individual
Location Address
2321 COOLMIST CREEK DR LITTLE ELM, TX 75068
Location Phone
(469) 481-6874
Location Fax
(214) 618-0724
Mailing Address
2321 COOLMIST CREEK DR LITTLE ELM, TX 75068
Mailing Phone
(469) 481-6874
Is Sole Proprietor?
Yes
Enumeration Date
01-11-2023
Last Update Date
01-11-2023
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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
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.

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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.
1366156614
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126251262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 2 + 5 + 1 + 2 + 6 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366156614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366156614, enumerated as an "individual" on January 11, 2023.

The provider is located at 2321 COOLMIST CREEK DR LITTLE ELM, TX 75068 and the phone number is (469) 481-6874.

Assisted Living Facility with taxonomy code 310400000X.