WILLOW CREEK GROUP HOME SOUTH
NPI 1871897017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Adrian, MO

NPI Status: Active since January 03, 2011

Contact Information

1008 EDITH AVE.
ADRIAN, MO
ZIP 64720
Phone: (816) 225-8214
Fax: (816) 297-8956

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About WILLOW CREEK GROUP HOME SOUTH

This page provides the complete NPI Profile along with additional information for Willow Creek Group Home South, a provider established in Adrian, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1871897017 assigned on January 2011. The practitioner's primary taxonomy code is 320900000X with license number 134112203 (MO). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Willow Creek Group Home South. The authorized official of this NPI record is Christian Dennison (Owner)

NPI
1871897017
Provider Legal Name
WILLOW CREEK ISL, LLC
Other Organization Name
WILLOW CREEK GROUP HOME SOUTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1008 EDITH AVE. ADRIAN, MO 64720
Location Phone
(816) 225-8214
Location Fax
(816) 297-8956
Mailing Address
1008 EDITH AVE. ADRIAN, MO 64720
Mailing Phone
(816) 225-8214
Mailing Fax
(816) 297-8956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2011
Last Update Date
01-28-2022
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
134112203
License State
MO
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

CHRISTIAN DENNISON

Authorized Official Title
OWNER
Authorized Official Phone
(816) 225-8214

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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 1871897017, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 7 → 14 → 5 8 → 16 → 7 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 6 + 9 + 1 + 4 + 0 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1871897017.

Other Providers at the Same Location


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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1008 EDITH AVE.
ADRIAN, MO 64720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871897017, enumerated as an "organization" on January 03, 2011.

The provider is located at 1008 EDITH AVE. ADRIAN, MO 64720 and the phone number is (816) 225-8214.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.