COUNTRY MANOR PERSONAL CARE HOME, INC
NPI 1649697442
Assisted Living Facility in Tignall, GA

NPI Status: Active since March 19, 2014

Contact Information

173 N HULIN AVE
TIGNALL, GA
ZIP 30668
Phone: (706) 285-3070
Fax: (706) 285-3071

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  • Organization
  • Assisted Living Facility

About COUNTRY MANOR PERSONAL CARE HOME, INC

This page provides the complete NPI Profile along with additional information for Country Manor Personal Care Home, Inc, a provider established in Tignall, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649697442 assigned on March 2014. The practitioner's primary taxonomy code is 310400000X with license number PCH008305 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Angela Renae Roberson Rn (Owner/ Administrator)

NPI
1649697442
Provider Name
COUNTRY MANOR PERSONAL CARE HOME, INC
Entity Type
Organization
Location Address
173 N HULIN AVE TIGNALL, GA 30668
Location Phone
(706) 285-3070
Location Fax
(706) 285-3071
Mailing Address
173 N HULIN AVE TIGNALL, GA 30668
Mailing Phone
(706) 285-3070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2014
Last Update Date
03-19-2014
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
PCH008305
License State
GA
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

MRS. ANGELA RENAE ROBERSON RN

Authorized Official Title
OWNER/ ADMINISTRATOR
Authorized Official Phone
(706) 285-3070

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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 1649697442, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 4 → 8 6 → 12 → 3 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 2 + 9 + 1 + 4 + 4 + 8 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1649697442.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649697442, enumerated as an "organization" on March 19, 2014.

The provider is located at 173 N HULIN AVE TIGNALL, GA 30668 and the phone number is (706) 285-3070.

Assisted Living Facility with taxonomy code 310400000X.