PEEBLES RESIDENT HOME
NPI 1851504385
Assisted Living Facility in Peebles, OH

NPI Status: Active since May 08, 2007

Contact Information

25773 STATE ROUTE 41
PEEBLES, OH
ZIP 45660
Phone: (937) 587-5414
Fax: (440) 614-0168

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility

About PEEBLES RESIDENT HOME

This page provides the complete NPI Profile along with additional information for Peebles Resident Home, a provider established in Peebles, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1851504385 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number 1955 (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Peebles Resident Home. The authorized official of this NPI record is Brian Colleran (President)

NPI: 1851504385
Provider Legal Name: MELLON RIDGE, INC.
Other Organization Name: PEEBLES RESIDENT HOME
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 25773 STATE ROUTE 41 PEEBLES, OH 45660
Location Phone: (937) 587-5414
Location Fax: (440) 614-0168
Mailing Address: 22021 BROOKPARK RD STE 123 FAIRVIEW PARK, OH 44126
Mailing Phone: (440) 614-0160
Mailing Fax: (440) 614-0168
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-08-2007
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: Assisted Living Facility
Taxonomy Code: 310400000X
Type: Nursing & Custodial Care Facilities
License No.: 1955
License State: OH
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: BRIAN COLLERAN
Authorized Official Title: PRESIDENT
Authorized Official Phone: (440) 614-0160

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	8	5	1	5	0	4	3	8	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	10	1	10	0	8	3	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 0 + 8 + 3 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1851504385 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.