SR SAM
NPI 1457787079
Custodial Care Facility in La Porte, TX

NPI Status: Active since September 16, 2013

Contact Information

502 N 5TH ST
LA PORTE, TX
ZIP 77571
Phone: (832) 677-2248
Fax: (281) 471-1263

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  • Organization
  • Custodial Care Facility

About SR SAM

This page provides the complete NPI Profile along with additional information for Sr Sam, a provider established in La Porte, Texas operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1457787079 assigned on September 2013. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Constance K Gordon (Owner)

NPI
1457787079
Provider Name
SR SAM
Entity Type
Organization
Location Address
502 N 5TH ST LA PORTE, TX 77571
Location Phone
(832) 677-2248
Location Fax
(281) 471-1263
Mailing Address
502 N 5TH ST LA PORTE, TX 77571
Mailing Phone
(832) 677-2248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2013
Last Update Date
09-16-2013
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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

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
License State
TX
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

(TX)

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

CONSTANCE K GORDON

Authorized Official Title
OWNER
Authorized Official Phone
(832) 677-2248

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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 1457787079, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 4 + 8 + 1 + 4 + 0 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457787079.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457787079, enumerated as an "organization" on September 16, 2013.

The provider is located at 502 N 5TH ST LA PORTE, TX 77571 and the phone number is (832) 677-2248.

Custodial Care Facility with taxonomy code 311Z00000X.