MARSHALL COUNTY COUNCIL ON AGING
NPI 1629103684
Home Delivered Meals in Plymouth, IN

NPI Status: Active since February 22, 2007

Contact Information

1305 W HARRISON STREET
PLYMOUTH, IN
ZIP 46563
Phone: (574) 936-9904
Fax: (574) 936-9904

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  • Organization
  • Home Delivered Meals
  • CLIA Number: 15D0663338
  • CLIA Cert. Type: Other - WIC OFFICE
  • CLIA Exp. Date: 08-31-2026

About MARSHALL COUNTY COUNCIL ON AGING

This page provides the complete NPI Profile along with additional information for Marshall County Council On Aging, a provider established in Plymouth, Indiana operating as a Home Delivered Meals. The healthcare provider is registered in the NPI registry with number 1629103684 assigned on February 2007. The practitioner's primary taxonomy code is 332U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Jacqueline Ann Wright (Executive Director)

NPI
1629103684
Provider Name
MARSHALL COUNTY COUNCIL ON AGING
Entity Type
Organization
Location Address
1305 W HARRISON STREET PLYMOUTH, IN 46563
Location Phone
(574) 936-9904
Location Fax
(574) 936-9904
Mailing Address
1305 W HARRISON STREET PLYMOUTH, IN 46563
Mailing Phone
(574) 936-9904
Mailing Fax
(574) 936-9904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2007
Last Update Date
08-22-2020
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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

Home Delivered Meals

Taxonomy Code
332U00000X
Type
Suppliers
Taxonomy Description
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

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)

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 ANN WRIGHT

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(574) 936-9904

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0663338
Facility Type
Other - WIC OFFICE
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
LESLIE MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marshall County Council On Aging to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1629103684
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649206616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 0 + 6 + 6 + 1 + 6 + 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 = 44

The NPI number 1629103684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629103684, enumerated as an "organization" on February 22, 2007.

The provider is located at 1305 W HARRISON STREET PLYMOUTH, IN 46563 and the phone number is (574) 936-9904.

Home Delivered Meals with taxonomy code 332U00000X.