POTENTIAL WAY
NPI 1588434849
Lodging in Clearlake Oaks, CA

NPI Status: Active since January 08, 2024

Contact Information

12901 E HIGHWAY 20
CLEARLAKE OAKS, CA
ZIP 95423
Phone: (916) 613-0098
Fax: (707) 703-5792

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  • Organization
  • Lodging

About POTENTIAL WAY

This page provides the complete NPI Profile along with additional information for Potential Way, a provider established in Clearlake Oaks, California operating as a Lodging. The healthcare provider is registered in the NPI registry with number 1588434849 assigned on January 2024. The practitioner's primary taxonomy code is 177F00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Jacqueline Marie Kelly Rn (Ceo)

NPI
1588434849
Provider Name
POTENTIAL WAY
Entity Type
Organization
Location Address
12901 E HIGHWAY 20 CLEARLAKE OAKS, CA 95423
Location Phone
(916) 613-0098
Location Fax
(707) 703-5792
Mailing Address
PO BOX 516 CLEARLAKE OAKS, CA 95423
Mailing Phone
(916) 613-0098
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2024
Last Update Date
01-08-2024
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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

Lodging

Taxonomy Code
177F00000X
Type
Other Service Providers
Taxonomy Description
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

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)
1174200000XOther Service Providers

Meals

 
2251B00000XAgencies

Case Management

 
3251E00000XAgencies

Home Health

 

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. JACQUELINE MARIE KELLY RN

Authorized Official Title
CEO
Authorized Official Phone
(916) 613-0098

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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 1588434849, 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 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 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
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
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 8 → 16 → 7 4 → 8 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 + 5 + 1 + 6 + 8 + 8 + 3 + 8 + 8 + 8 + 24 = 81

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

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1588434849.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588434849, enumerated as an "organization" on January 08, 2024.

The provider is located at 12901 E HIGHWAY 20 CLEARLAKE OAKS, CA 95423 and the phone number is (916) 613-0098.

Lodging with taxonomy code 177F00000X.