MARY LORETTA HOUSE, LLC
NPI 1396037420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Suwanee, GA

NPI Status: Active since May 09, 2011

Contact Information

2133 LAWRENCEVILLE SUWANEE RD
#12-136
SUWANEE, GA
ZIP 30024
Phone: (678) 390-2682

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  • Organization
  • Residential Treatment Facility, Intellec...

About MARY LORETTA HOUSE, LLC

This page provides the complete NPI Profile along with additional information for Mary Loretta House, Llc, a provider established in Suwanee, Georgia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1396037420 assigned on May 2011. The practitioner's primary taxonomy code is 320600000X with license number 09081085 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Mary Steedman (Registerd Agent)

NPI
1396037420
Provider Name
MARY LORETTA HOUSE, LLC
Entity Type
Organization
Location Address
2133 LAWRENCEVILLE SUWANEE RD #12-136 SUWANEE, GA 30024
Location Phone
(678) 390-2682
Mailing Address
2133 LAWRENCEVILLE SUWANEE RD #12-136 SUWANEE, GA 30024
Mailing Phone
(678) 390-2682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2011
Last Update Date
01-12-2012
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
09081085
License State
GA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

MS. MARY STEEDMAN

Authorized Official Title
REGISTERD AGENT
Authorized Official Phone
(678) 390-2682

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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.
1396037420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186031444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 3 + 1 + 4 + 4 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396037420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MARY L STEEDMAN

Adult Companion

2133 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA
ZIP 30024

(678) 630-7321

COMPLETE DENTAL OF SUWANEE

Dentist

(General Practice)

2133 LAWRENCEVILLE SUWANEE RD
SUITE 13
SUWANEE, GA
ZIP 30024

(678) 377-6453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396037420, enumerated as an "organization" on May 09, 2011.

The provider is located at 2133 LAWRENCEVILLE SUWANEE RD #12-136 SUWANEE, GA 30024 and the phone number is (678) 390-2682.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.