1ST SOURCE HEALTHCARE
NPI 1841664695
Home Health in Macon, GA

NPI Status: Active since November 17, 2015

Contact Information

534 IVY BROOK WAY
MACON, GA
ZIP 31210
Phone: (478) 972-0748

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  • Organization
  • Home Health

About 1ST SOURCE HEALTHCARE

This page provides the complete NPI Profile along with additional information for 1st Source Healthcare, a provider established in Macon, Georgia operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1841664695 assigned on November 2015. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Michael Brandon Lucas (Administrator)

NPI
1841664695
Provider Name
1ST SOURCE HEALTHCARE
Entity Type
Organization
Location Address
534 IVY BROOK WAY MACON, GA 31210
Location Phone
(478) 972-0748
Mailing Address
534 IVY BROOK WAY MACON, GA 31210
Mailing Phone
(478) 972-0748
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2015
Last Update Date
11-17-2015
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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

MICHAEL BRANDON LUCAS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(478) 972-0748

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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.
1841664695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28811268618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 2 + 6 + 8 + 6 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1841664695 is valid because the calculated check digit 5 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 1841664695, enumerated as an "organization" on November 17, 2015.

The provider is located at 534 IVY BROOK WAY MACON, GA 31210 and the phone number is (478) 972-0748.

Home Health with taxonomy code 251E00000X.