BROOKDALE CORDOVA
NPI 1710291240
Assisted Living Facility in Cordova, TN

NPI Status: Active since July 26, 2010

Contact Information

1535 APPLING CARE LN
CORDOVA, TN
ZIP 38016
Phone: (901) 377-7500
Fax: (901) 377-1918

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  • Organization
  • Assisted Living Facility

About BROOKDALE CORDOVA

This page provides the complete NPI Profile along with additional information for Brookdale Cordova, a provider established in Cordova, Tennessee operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1710291240 assigned on July 2010. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Brookdale Cordova. The authorized official of this NPI record is Bryan Richardson (Evp, Chief Admin. Officer)

NPI
1710291240
Provider Legal Name
EMERITUS CORPORATION
Other Organization Name
BROOKDALE CORDOVA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1535 APPLING CARE LN CORDOVA, TN 38016
Location Phone
(901) 377-7500
Location Fax
(901) 377-1918
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2010
Last Update Date
05-17-2016
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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 State
TN
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

BRYAN RICHARDSON

Authorized Official Title
EVP, CHIEF ADMIN. OFFICER
Authorized Official Phone
(615) 564-8131

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
H445491MEDICAID (05)TN 

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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.
1710291240
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272049228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 9 + 2 + 2 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710291240 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

CARMEN HAMPTON OT

Occupational Therapist

1535 APPLING CARE LN
CORDOVA, TN
ZIP 38016

(901) 930-0813

AEGIS GROUP PRACTICE LLC

Physical Therapist

1535 APPLING CARE LN
CORDOVA, TN
ZIP 38016

(800) 444-6845

MARY ELIZABETH LONG OT

Occupational Therapist

1535 APPLING CARE LN
CORDOVA, TN
ZIP 38016

(901) 203-5228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710291240, enumerated as an "organization" on July 26, 2010.

The provider is located at 1535 APPLING CARE LN CORDOVA, TN 38016 and the phone number is (901) 377-7500.

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.