ADULT DAY HEALTH SERVICES
NPI 1497144265
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Louisville, MS

NPI Status: Active since January 16, 2015

Contact Information

803 W MAIN ST
LOUISVILLE, MS
ZIP 39339
Phone: (662) 705-5031
Fax: (662) 705-5034

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About ADULT DAY HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Adult Day Health Services, a provider established in Louisville, Mississippi operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1497144265 assigned on January 2015. The practitioner's primary taxonomy code is 251T00000X with license number 08752218 (MS). The provider is registered as an organization and their NPI record was last updated 11 years ago. Adult Day Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Adult Day Health Services. The authorized official of this NPI record is Ms. Beatrice A Ezem Rn,cm,clnc (Ceo)

NPI
1497144265
Provider Legal Name
EMMANUEL RIDGE OF LOUISVILLE MS INC
Other Organization Name
ADULT DAY HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
803 W MAIN ST LOUISVILLE, MS 39339
Location Phone
(662) 705-5031
Location Fax
(662) 705-5034
Mailing Address
750 BOLING ST SUITE H JACKSON, MS 39209
Mailing Phone
(769) 233-7437
Mailing Fax
(662) 705-5034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2015
Last Update Date
01-16-2015
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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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
License No.
08752218
License State
MS
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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)
1163WA2000XNursing Service Providers

Registered Nurse
Administrator

R815521 (MS)
2253Z00000XAgencies

In Home Supportive Care

03630719 (MS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MS. BEATRICE A EZEM RN,CM,CLNC

Authorized Official Title
CEO
Authorized Official Phone
(601) 927-9839

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
08752218MEDICAID (05)MS 

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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 1497144265, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 9 → 18 → 9 1 → 2 4 → 8 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 + 1 + 8 + 7 + 2 + 4 + 8 + 2 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1497144265.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Assisted Living Facility
803 W MAIN ST
LOUISVILLE, MS 39339
Assisted Living Facility
803 W MAIN ST
LOUISVILLE, MS 39339
Assisted Living Facility
803 W MAIN ST
LOUISVILLE, MS 39339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497144265, enumerated as an "organization" on January 16, 2015.

The provider is located at 803 W MAIN ST LOUISVILLE, MS 39339 and the phone number is (662) 705-5031.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

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