BOLTON BROOK MANOR
NPI 1497364442
Assisted Living Facility - Assisted Living, Mental Illness in Metamora, MI

NPI Status: Active since July 27, 2020

Contact Information

4554 THOMAS RD
METAMORA, MI
ZIP 48455
Phone: (810) 678-2087
Fax: (810) 678-2766

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

About BOLTON BROOK MANOR

This page provides the complete NPI Profile along with additional information for Bolton Brook Manor, a provider established in Metamora, Michigan operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1497364442 assigned on July 2020. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Sunil R Bhattad (Administrator)

NPI
1497364442
Provider Name
BOLTON BROOK MANOR
Entity Type
Organization
Location Address
4554 THOMAS RD METAMORA, MI 48455
Location Phone
(810) 678-2087
Location Fax
(810) 678-2766
Mailing Address
4554 THOMAS RD METAMORA, MI 48455
Mailing Phone
(810) 678-2087
Mailing Fax
(810) 678-2766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2020
Last Update Date
07-27-2020
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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
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.

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

 

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. SUNIL R BHATTAD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(248) 797-8519

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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 1497364442, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 3 → 6 4 → 8 4 → 8

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 + 6 + 6 + 8 + 4 + 8 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1497364442.

Other Providers at the Same Location


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

Nursing Home Administrator
4554 THOMAS RD
METAMORA, MI 48455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497364442, enumerated as an "organization" on July 27, 2020.

The provider is located at 4554 THOMAS RD METAMORA, MI 48455 and the phone number is (810) 678-2087.

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