MAGNOLIA GARDEN ADULT DAYCARE
NPI 1861622128
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Hannibal, MO

NPI Status: Active since July 21, 2009

Contact Information

909 BROADWAY
SUITE 350
HANNIBAL, MO
ZIP 63401
Phone: (573) 221-8282
Fax: (573) 221-8233

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About MAGNOLIA GARDEN ADULT DAYCARE

This page provides the complete NPI Profile along with additional information for Magnolia Garden Adult Daycare, a provider established in Hannibal, Missouri operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1861622128 assigned on July 2009. The practitioner's primary taxonomy code is 251T00000X with license number 834 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Magnolia Garden Adult Daycare. The authorized official of this NPI record is Tara Fortner (Payroll Billing Manager)

NPI
1861622128
Provider Legal Name
NORTHEAST INDEPENDENT LIVING SERVICES
Other Organization Name
MAGNOLIA GARDEN ADULT DAYCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
909 BROADWAY SUITE 350 HANNIBAL, MO 63401
Location Phone
(573) 221-8282
Location Fax
(573) 221-8233
Mailing Address
909 BROADWAY SUITE 350 HANNIBAL, MO 63401
Mailing Phone
(573) 221-8282
Mailing Fax
(573) 221-8233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2009
Last Update Date
07-21-2009
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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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
License No.
834
License State
MO
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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

TARA FORTNER

Authorized Official Title
PAYROLL BILLING MANAGER
Authorized Official Phone
(573) 221-8282

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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 1861622128, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 6 → 12 → 3 6 → 12 → 3 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 2 + 2 + 4 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1861622128.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861622128, enumerated as an "organization" on July 21, 2009.

The provider is located at 909 BROADWAY SUITE 350 HANNIBAL, MO 63401 and the phone number is (573) 221-8282.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.