WALDEN POND CARE HOME
NPI 1558038174
Custodial Care Facility in Cherryville, NC

NPI Status: Active since August 23, 2021

Contact Information

101 OLDE COACH LANE
CHERRYVILLE, NC
ZIP 28021
Phone: (980) 295-3020

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  • Organization
  • Custodial Care Facility

About WALDEN POND CARE HOME

This page provides the complete NPI Profile along with additional information for Walden Pond Care Home, a provider established in Cherryville, North Carolina operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1558038174 assigned on August 2021. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Walden Pond Care Home. The authorized official of this NPI record is Bernice R Hosch (Administrator/operator)

NPI
1558038174
Provider Legal Name
CCJ ADULT CARE IV LLC
Other Organization Name
WALDEN POND CARE HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 OLDE COACH LANE CHERRYVILLE, NC 28021
Location Phone
(980) 295-3020
Mailing Address
PO BOX 74 BESSEMER CITY, NC 28016
Mailing Phone
(980) 295-3020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2021
Last Update Date
08-24-2021
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Location Map

Secondary Locations

  • 100 W Main Ave Apt 302
    Gastonia, NC 28052
    (980) 295-3020

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
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.

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

BERNICE R HOSCH

Authorized Official Title
ADMINISTRATOR/OPERATOR
Authorized Official Phone
(980) 295-3020

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
FCL-036-035OTHER (01)STATE OF NORTH CAROLINA

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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 1558038174, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 0 + 3 + 1 + 6 + 1 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558038174.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558038174, enumerated as an "organization" on August 23, 2021.

The provider is located at 101 OLDE COACH LANE CHERRYVILLE, NC 28021 and the phone number is (980) 295-3020.

Custodial Care Facility with taxonomy code 311Z00000X.

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