COMMUNITY CARE CENTER OF STAMFORD
NPI 1760432538
Skilled Nursing Facility in Stamford, TX

NPI Status: Active since May 11, 2006

Contact Information

1003 COLUMBIA STREET
STAMFORD, TX
ZIP 79553
Phone: (325) 773-3671
Fax: (325) 773-5751

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  • Organization
  • Skilled Nursing Facility

About COMMUNITY CARE CENTER OF STAMFORD

This page provides the complete NPI Profile along with additional information for Community Care Center Of Stamford, a provider established in Stamford, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1760432538 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 120372 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Community Care Center Of Stamford. The authorized official of this NPI record is Justin Freebourn (President)

NPI
1760432538
Provider Legal Name
AMBASSADOR MEDICAL SUPPLY OF TEXAS INC
Other Organization Name
COMMUNITY CARE CENTER OF STAMFORD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1003 COLUMBIA STREET STAMFORD, TX 79553
Location Phone
(325) 773-3671
Location Fax
(325) 773-5751
Mailing Address
1714 TEASLEY LANE DENTON, TX 76205
Mailing Phone
(940) 220-6440
Mailing Fax
(325) 773-5751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2006
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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
120372
License State
TX
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.

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

JUSTIN FREEBOURN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(940) 220-6440

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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.
1760432538
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712083456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 3 + 4 + 5 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1760432538 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760432538, enumerated as an "organization" on May 11, 2006.

The provider is located at 1003 COLUMBIA STREET STAMFORD, TX 79553 and the phone number is (325) 773-3671.

Skilled Nursing Facility with taxonomy code 314000000X.