BRASWELLS IVY RETREAT LTD
NPI 1750352191
Skilled Nursing Facility in Mentone, CA
NPI Status: Active since February 01, 2006
Contact Information
2278 NICE AVE
MENTONE, CA
ZIP 92359
Phone: (909) 794-1189
Fax: (909) 389-7449
- Organization
- Skilled Nursing Facility
About BRASWELLS IVY RETREAT LTD
This page provides the complete NPI Profile along with additional information for Braswells Ivy Retreat Ltd, a provider established in Mentone, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1750352191 assigned on February 2006. The practitioner's primary taxonomy code is 314000000X with license number 240000158 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Valerie Candelaria (Director Of Ar)
- NPI
- 1750352191
- Provider Name
- BRASWELLS IVY RETREAT LTD
- Entity Type
- Organization
- Location Address
- 2278 NICE AVE MENTONE, CA 92359
- Location Phone
- (909) 794-1189
- Location Fax
- (909) 389-7449
- Mailing Address
- 2278 NICE AVE MENTONE, CA 92359
- Mailing Phone
- (909) 794-1189
- Mailing Fax
- (909) 389-7449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2006
- Last Update Date
- 06-30-2008
- Code Navigator
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 240000158
- License State
- CA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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.
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 |
|---|---|---|---|
| 555025 | MEDICARE OSCAR/CERTIFICATION (06) | CA | |
| 555025 | OTHER (01) | CA | MEDICARE PROVIDER NUMBER |
| 555025 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| ZZT05985I | MEDICAID (05) | CA |
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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. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 5 | 2 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 5 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 5 + 4 + 1 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1750352191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
UNICA HC, LLC
Skilled Nursing Facility
2278 NICE AVE
MENTONE, CA
ZIP 92359
NICE AVENUE LLC
Skilled Nursing Facility
2278 NICE AVE
MENTONE, CA
ZIP 92359
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750352191, enumerated as an "organization" on February 01, 2006.
The provider is located at 2278 NICE AVE MENTONE, CA 92359 and the phone number is (909) 794-1189.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
