PRISTINE SENIOR LIVING OF FREMONT, LLC
NPI 1609251644
Skilled Nursing Facility in Fremont, OH
NPI Status: Active since July 20, 2015
Contact Information
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
Phone: (419) 334-2602
- Organization
- Skilled Nursing Facility
- Accepts Insurance
About PRISTINE SENIOR LIVING OF FREMONT, LLC
This page provides the complete NPI Profile along with additional information for Pristine Senior Living Of Fremont, Llc, a provider established in Fremont, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1609251644 assigned on July 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Christopher T Cook (Chief Executive Officer)
- NPI
- 1609251644
- Provider Name
- PRISTINE SENIOR LIVING OF FREMONT, LLC
- Entity Type
- Organization
- Location Address
- 1865 COUNTRYSIDE DR FREMONT, OH 43420
- Location Phone
- (419) 334-2602
- Mailing Address
- 3301 W PURDUE AVE MUNCIE, IN 47304
- Mailing Phone
- (317) 408-8491
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2015
- Last Update Date
- 07-20-2015
- Code Navigator
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License State
- OH
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
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.
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 |
|---|---|---|---|
| 365418 | MEDICARE OSCAR/CERTIFICATION (06) | OH | |
| 2303055 | MEDICAID (05) | OH |
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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. | |||||||||
| 1 | 6 | 0 | 9 | 2 | 5 | 1 | 6 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 4 | 5 | 2 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 4 + 5 + 2 + 6 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1609251644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
LIBERTY NURSING CENTER OF FREMONT, INC
Skilled Nursing Facility
(Nursing Care, Pediatric)
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC
Skilled Nursing Facility
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
COUNTRYSIDE CONTINUING CARE
Skilled Nursing Facility
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
LARRY J HILL SLP
Speech-Language Pathologist
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609251644, enumerated in the NPI registry as an "organization" on July 20, 2015
The provider is located at 1865 Countryside Dr Fremont, Oh 43420 and the phone number is (419) 334-2602
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 20, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
