JOHNSON HOME ASSISTED LIVING, INC.
NPI 1447615968
Assisted Living Facility - Assisted Living, Mental Illness in Pueblo, CO

NPI Status: Active since December 28, 2015

Contact Information

403 W 13TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 543-0306
Fax: (719) 562-9684

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About JOHNSON HOME ASSISTED LIVING, INC.

This page provides the complete NPI Profile along with additional information for Johnson Home Assisted Living, Inc., a provider established in Pueblo, Colorado operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1447615968 assigned on December 2015. The practitioner's primary taxonomy code is 3104A0625X with license number 230602 (CO). 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. Paul Spicola (Vice-president)

NPI
1447615968
Provider Name
JOHNSON HOME ASSISTED LIVING, INC.
Entity Type
Organization
Location Address
403 W 13TH ST PUEBLO, CO 81003
Location Phone
(719) 543-0306
Location Fax
(719) 562-9684
Mailing Address
403 W 13TH ST PUEBLO, CO 81003
Mailing Phone
(719) 543-0306
Mailing Fax
(719) 562-9684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2015
Last Update Date
12-29-2015
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
230602
License State
CO
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. PAUL SPICOLA

Authorized Official Title
VICE-PRESIDENT
Authorized Official Phone
(719) 369-4567

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
04142097MEDICAID (05)CO 

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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 1447615968, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 2 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1447615968.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility (Assisted Living, Mental Illness)
403 W 13TH ST
PUEBLO, CO 81003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447615968, enumerated as an "organization" on December 28, 2015.

The provider is located at 403 W 13TH ST PUEBLO, CO 81003 and the phone number is (719) 543-0306.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.