GRAN VILLAS GREAT BEND
NPI 1720561541
Assisted Living Facility in Great Bend, KS

NPI Status: Active since September 07, 2018

Contact Information

1401 CHERRY LN
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-2165
Fax: (620) 793-6341

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 17D0452733
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About GRAN VILLAS GREAT BEND

This page provides the complete NPI Profile along with additional information for Gran Villas Great Bend, a provider established in Great Bend, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720561541 assigned on September 2018. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Gran Villas Great Bend. The authorized official of this NPI record is Scott Hines (Cfo)

NPI
1720561541
Provider Legal Name
MEDICALODGES, INC.
Other Organization Name
GRAN VILLAS GREAT BEND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1401 CHERRY LN GREAT BEND, KS 67530
Location Phone
(620) 792-2165
Location Fax
(620) 793-6341
Mailing Address
1401 CHERRY LN GREAT BEND, KS 67530
Mailing Phone
(620) 792-2165
Mailing Fax
(620) 793-6341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2018
Last Update Date
09-07-2018
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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
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

SCOTT HINES

Authorized Official Title
CFO
Authorized Official Phone
(620) 709-0305

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
17D0452733
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
SHANNON LAGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gran Villas Great Bend 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 1720561541, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 0 + 6 + 2 + 5 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1720561541.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physical Therapist
1401 CHERRY LN
GREAT BEND, KS 67530
Occupational Therapist
1401 CHERRY LN
GREAT BEND, KS 67530
Occupational Therapist
1401 CHERRY LN
GREAT BEND, KS 67530
Speech-Language Pathologist
1401 CHERRY LN
GREAT BEND, KS 67530
Skilled Nursing Facility
1401 CHERRY LN
GREAT BEND, KS 67530
Occupational Therapist
1401 CHERRY LN
GREAT BEND, KS 67530
Alzheimer Center (Dementia Center)
1401 CHERRY LN
GREAT BEND, KS 67530
Assisted Living Facility
1401 CHERRY LN
GREAT BEND, KS 67530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720561541, enumerated as an "organization" on September 07, 2018.

The provider is located at 1401 CHERRY LN GREAT BEND, KS 67530 and the phone number is (620) 792-2165.

Assisted Living Facility with taxonomy code 310400000X.