MAGNOLIA RETIREMENT HOME INC
NPI 1922307586
Assisted Living Facility in Sebring, FL

NPI Status: Active since March 22, 2011

Contact Information

149 MAGNOLIA AVE
SEBRING, FL
ZIP 33870
Phone: (863) 382-2116
Fax: (863) 382-2117

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  • Organization
  • Assisted Living Facility

About MAGNOLIA RETIREMENT HOME INC

This page provides the complete NPI Profile along with additional information for Magnolia Retirement Home Inc, a provider established in Sebring, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1922307586 assigned on March 2011. The practitioner's primary taxonomy code is 310400000X with license number AL4947 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Manuel M Domisiw (Owner/administrator)

NPI
1922307586
Provider Name
MAGNOLIA RETIREMENT HOME INC
Entity Type
Organization
Location Address
149 MAGNOLIA AVE SEBRING, FL 33870
Location Phone
(863) 382-2116
Location Fax
(863) 382-2117
Mailing Address
149 MAGNOLIA AVE SEBRING, FL 33870
Mailing Phone
(863) 382-2116
Mailing Fax
(863) 382-2117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2011
Last Update Date
03-22-2011
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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.
AL4947
License State
FL
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)
13104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

AL4947 (FL)

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.

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

MR. MANUEL M DOMISIW

Authorized Official Title
OWNER/ADMINISTRATOR
Authorized Official Phone
(863) 382-2116

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
140646900MEDICAID (05)FL 

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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 1922307586, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 2 → 4 3 → 6 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 6 + 0 + 1 + 4 + 5 + 1 + 6 + 24 = 64

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.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1922307586.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility (Assisted Living, Mental Illness)
149 MAGNOLIA AVE
SEBRING, FL 33870
Assisted Living Facility (Assisted Living, Mental Illness)
149 MAGNOLIA AVE
SEBRING, FL 33870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922307586, enumerated as an "organization" on March 22, 2011.

The provider is located at 149 MAGNOLIA AVE SEBRING, FL 33870 and the phone number is (863) 382-2116.

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.