SHANE HILL DIVINE OPCO LLC
NPI 1629866439
Assisted Living Facility in Rockford, OH

NPI Status: Active since April 30, 2025

Contact Information

10731 STATE ROUTE 118
ROCKFORD, OH
ZIP 45882
Phone: (330) 620-7828

Get Directions Write a Review

  • Organization
  • Assisted Living Facility

About SHANE HILL DIVINE OPCO LLC

This page provides the complete NPI Profile along with additional information for Shane Hill Divine Opco Llc, a provider established in Rockford, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1629866439 assigned on April 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jeffrey Degyansky (Chief Operating Officer)

NPI
1629866439
Provider Name
SHANE HILL DIVINE OPCO LLC
Entity Type
Organization
Location Address
10731 STATE ROUTE 118 ROCKFORD, OH 45882
Location Phone
(330) 620-7828
Mailing Address
5915 LANDERBROOK DR STE 350 MAYFIELD HEIGHTS, OH 44124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2025
Last Update Date
04-30-2025
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

JEFFREY DEGYANSKY

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(330) 620-7828

Reviews for SHANE HILL DIVINE OPCO LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1629866439, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
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 2 → 4 8 → 16 → 7 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 6 + 6 + 1 + 2 + 4 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629866439.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629866439, enumerated as an "organization" on April 30, 2025.

The provider is located at 10731 STATE ROUTE 118 ROCKFORD, OH 45882 and the phone number is (330) 620-7828.

Assisted Living Facility with taxonomy code 310400000X.