MS. JOHNNETTA MATRICE NICHOLS
NPI 1861636896
Assisted Living Facility in Houston, TX
NPI Status: Active since April 21, 2009
Contact Information
8209 N. MAIN ST.
HOUSTON, TX
ZIP 77022
Phone: (713) 692-1414
Fax: (713) 692-2157
- Individual
- Female
- Assisted Living Facility
About JOHNNETTA NICHOLS
This page provides the complete NPI Profile along with additional information for Johnnetta Nichols, a provider established in Houston, Texas with a medical specialization in Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1861636896 assigned on April 2009. The practitioner's primary taxonomy code is 310400000X with license number 102737 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1861636896
- Provider Name
- MS. JOHNNETTA MATRICE NICHOLS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8209 N. MAIN ST. HOUSTON, TX 77022
- Location Phone
- (713) 692-1414
- Location Fax
- (713) 692-2157
- Mailing Address
- 8209 N. MAIN ST. HOUSTON, TX 77022
- Mailing Phone
- (713) 692-1414
- Mailing Fax
- (713) 692-2157
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-21-2009
- Last Update Date
- 04-26-2024
- Code Navigator
Location Map
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.
- 102737
- License State
- TX
- 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.
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) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F500193420 | MEDICAID (05) | TX | |
| 1861636896 | MEDICAID (05) | TX | |
| 205828380 | MEDICAID (05) | TX |
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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 1861636896, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861636896, enumerated as an "individual" on April 21, 2009.
The provider is located at 8209 N. MAIN ST. HOUSTON, TX 77022 and the phone number is (713) 692-1414.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
