MAGNOLIA TRACE REHABILITATION SUITE
NPI 1568818300
Clinic/Center - Rehabilitation in Huntsville, AL

NPI Status: Active since May 11, 2016

Contact Information

1 CLUBHOUSE AVE SW
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 261-1600
Fax: (256) 883-1842

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  • Organization
  • Clinic/Center
  • Rehabilitation

About MAGNOLIA TRACE REHABILITATION SUITE

This page provides the complete NPI Profile along with additional information for Magnolia Trace Rehabilitation Suite, a provider established in Huntsville, Alabama operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1568818300 assigned on May 2016. The practitioner's primary taxonomy code is 261QR0400X with license number 15137 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Magnolia Trace Rehabilitation Suite. The authorized official of this NPI record is Susan Ahern (Svp, Cfo)

NPI
1568818300
Provider Legal Name
ACTS RETIREMENT-LIFE COMMUNITIES, INC.
Other Organization Name
MAGNOLIA TRACE REHABILITATION SUITE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 CLUBHOUSE AVE SW HUNTSVILLE, AL 35802
Location Phone
(256) 261-1600
Location Fax
(256) 883-1842
Mailing Address
420 DELAWARE DR FORT WASHINGTON, PA 19034
Mailing Phone
(215) 661-8330
Mailing Fax
(256) 883-1842
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2016
Last Update Date
02-20-2024
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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

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
15137
License State
AL

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

SUSAN AHERN

Authorized Official Title
SVP, CFO
Authorized Official Phone
(215) 661-8330

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568818300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281611630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 1 + 1 + 6 + 3 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568818300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. TONIA P. BODDIE DNP

Nurse Practitioner

(Family)

1 CLUBHOUSE AVE SW
HUNTSVILLE, AL
ZIP 35802

(256) 261-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568818300, enumerated as an "organization" on May 11, 2016.

The provider is located at 1 CLUBHOUSE AVE SW HUNTSVILLE, AL 35802 and the phone number is (256) 261-1600.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.