GENESIS ADULT FAMILY HOME LLC
NPI 1831974955
Intermediate Care Facility, Mental Illness in Mequon, WI

NPI Status: Active since August 28, 2023

Contact Information

3315 W BURGUNDY CT
MEQUON, WI
ZIP 53092
Phone: (262) 853-1344

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  • Intermediate Care Facility, Mental Illne...

About GENESIS ADULT FAMILY HOME LLC

This page provides the complete NPI Profile along with additional information for Genesis Adult Family Home Llc, a provider established in Mequon, Wisconsin operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1831974955 assigned on August 2023. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Wanda Boone (Director)

NPI
1831974955
Provider Name
GENESIS ADULT FAMILY HOME LLC
Entity Type
Organization
Location Address
3315 W BURGUNDY CT MEQUON, WI 53092
Location Phone
(262) 853-1344
Mailing Address
3315 W BURGUNDY CT MEQUON, WI 53092
Mailing Phone
(262) 853-1344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2023
Last Update Date
08-28-2023
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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

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251J00000XAgencies

Nursing Care

 
2313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

 
33140N1450XNursing & Custodial Care Facilities

Skilled Nursing Facility
Nursing Care, Pediatric

 

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

WANDA BOONE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(262) 853-1344

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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 1831974955, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 3 → 6 9 → 18 → 9 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 1 + 8 + 7 + 8 + 9 + 1 + 0 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1831974955.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
3315 W BURGUNDY CT
MEQUON, WI 53092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831974955, enumerated as an "organization" on August 28, 2023.

The provider is located at 3315 W BURGUNDY CT MEQUON, WI 53092 and the phone number is (262) 853-1344.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.