ONE SENIOR CARE KENTUCKY, LLC
NPI 1689414294
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Pikeville, KY

NPI Status: Active since May 30, 2024

Contact Information

419 TOWN MOUNTAIN RD
PIKEVILLE, KY
ZIP 41501
Phone: (606) 727-2690

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  • Organization
  • Program of All-Inclusive Care for the El...
  • CLIA Number: 36D2320140
  • CLIA Cert. Type: Other - PACE PROGRAM
  • CLIA Exp. Date: 03-12-2027

About ONE SENIOR CARE KENTUCKY, LLC

This page provides the complete NPI Profile along with additional information for One Senior Care Kentucky, Llc, a provider established in Pikeville, Kentucky operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1689414294 assigned on May 2024. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jeffery Phillips (Sole Member)

NPI
1689414294
Provider Name
ONE SENIOR CARE KENTUCKY, LLC
Entity Type
Organization
Location Address
419 TOWN MOUNTAIN RD PIKEVILLE, KY 41501
Location Phone
(606) 727-2690
Mailing Address
100 STATE ST STE 200 ERIE, PA 16507
Mailing Phone
(814) 456-5433
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-30-2024
Last Update Date
05-30-2024
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Location Map

Secondary Locations

  • 14892 N US Highway 25 E
    Corbin, KY 40701
    (606) 727-2690

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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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

JEFFERY PHILLIPS

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(814) 456-5433

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
36D2320140
Facility Type
Other - PACE PROGRAM
Certificate Effective Date
March 13, 2025
Certificate Expiration Date
March 12, 2027
Laboratory Director
JEREMY J. MASHBURN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to One Senior Care Kentucky, Llc 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 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 1689414294, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 8 → 16 → 7 4 → 8 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 8 + 1 + 8 + 2 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689414294.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Family Medicine
419 TOWN MOUNTAIN RD, PROFESSIONAL ASSOCIATES BUILDING, SUITE #204
PIKEVILLE, KY 41501
Dentist (General Practice)
419 TOWN MOUNTAIN RD, SUITE 200
PIKEVILLE, KY 41501
Specialist
419 TOWN MOUNTAIN RD, SUITE 202 PROFESSIONAL ASSOCIATES BLDG
PIKEVILLE, KY 41501
Otolaryngology
419 TOWN MOUNTAIN RD, SUITE 104
PIKEVILLE, KY 41501
Obstetrics & Gynecology
419 TOWN MOUNTAIN RD, SUITE 206
PIKEVILLE, KY 41501
Orthopaedic Surgery
419 TOWN MOUNTAIN RD, SUITE 107
PIKEVILLE, KY 41501
Physician Assistant (Medical)
419 TOWN MOUNTAIN RD, SUITE 206
PIKEVILLE, KY 41501
Otolaryngology
419 TOWN MOUNTAIN RD, SUITE 104
PIKEVILLE, KY 41501
Dentist (General Practice)
419 TOWN MOUNTAIN RD, SUITE 200
PIKEVILLE, KY 41501
Family Medicine
419 TOWN MOUNTAIN RD, SUITE 206
PIKEVILLE, KY 41501
Family Medicine
419 TOWN MOUNTAIN RD, SUITE 206
PIKEVILLE, KY 41501
Family Medicine
419 TOWN MOUNTAIN RD, SUITE 206
PIKEVILLE, KY 41501
Clinic/Center (Primary Care)
419 TOWN MOUNTAIN RD, SUITE 203
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
419 TOWN MOUNTAIN RD
PIKEVILLE, KY 41501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689414294, enumerated as an "organization" on May 30, 2024.

The provider is located at 419 TOWN MOUNTAIN RD PIKEVILLE, KY 41501 and the phone number is (606) 727-2690.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.