PETERSEN COMMONS MARYCREST HOUSING
NPI 1669532883
Assisted Living Facility in Davenport, IA

NPI Status: Active since December 11, 2006

Contact Information

1607 W 12TH ST
DAVENPORT, IA
ZIP 52804
Phone: (563) 323-3888
Fax: (563) 324-1373

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  • Organization
  • Assisted Living Facility

About PETERSEN COMMONS MARYCREST HOUSING

This page provides the complete NPI Profile along with additional information for Petersen Commons Marycrest Housing, a provider established in Davenport, Iowa operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1669532883 assigned on December 2006. The practitioner's primary taxonomy code is 310400000X with license number S0214 (IA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Petersen Commons Marycrest Housing. The authorized official of this NPI record is Catherine Louise Fier R.n. (Director Of Assisted Living)

NPI
1669532883
Provider Legal Name
SIGNATURE MANAGEMENT
Other Organization Name
PETERSEN COMMONS MARYCREST HOUSING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1607 W 12TH ST DAVENPORT, IA 52804
Location Phone
(563) 323-3888
Location Fax
(563) 324-1373
Mailing Address
332 N HARRISON ST SUITE 100 DAVENPORT, IA 52801
Mailing Phone
(563) 322-2718
Mailing Fax
(563) 324-1373
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
S0214
License State
IA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

CATHERINE LOUISE FIER R.N.

Authorized Official Title
DIRECTOR OF ASSISTED LIVING
Authorized Official Phone
(563) 322-2718

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
0463604MEDICAID (05)IA 

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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 1669532883, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 6 → 12 → 3 5 → 10 → 1 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 0 + 3 + 4 + 8 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669532883.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician (Personal Care Attendant)
1607 W 12TH ST
DAVENPORT, IA 52804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669532883, enumerated as an "organization" on December 11, 2006.

The provider is located at 1607 W 12TH ST DAVENPORT, IA 52804 and the phone number is (563) 323-3888.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.