BLACKWELL NURSING HOME
NPI 1952390163
Nursing Facility/Intermediate Care Facility in Blackwell, OK

NPI Status: Active since October 19, 2005

Contact Information

1315 S 11TH ST
BLACKWELL, OK
ZIP 74631
Phone: (580) 363-1624
Fax: (580) 363-3977

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About BLACKWELL NURSING HOME

This page provides the complete NPI Profile along with additional information for Blackwell Nursing Home, a provider established in Blackwell, Oklahoma operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1952390163 assigned on October 2005. The practitioner's primary taxonomy code is 313M00000X with license number NH36013601 (OK). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Blackwell Nursing Home. The authorized official of this NPI record is Mr. Jeffrey W Young (Member/manager)

NPI
1952390163
Provider Legal Name
BEDLAM PROPERTIES, LLC
Other Organization Name
BLACKWELL NURSING HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1315 S 11TH ST BLACKWELL, OK 74631
Location Phone
(580) 363-1624
Location Fax
(580) 363-3977
Mailing Address
4500 S GARNETT RD SUITE 610 TULSA, OK 74146
Mailing Phone
(918) 622-4799
Mailing Fax
(580) 363-3977
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2005
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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
NH36013601
License State
OK
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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. JEFFREY W YOUNG

Authorized Official Title
MEMBER/MANAGER
Authorized Official Phone
(918) 622-4799

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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 1952390163, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 5 → 10 → 1 3 → 6 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 6 + 9 + 0 + 1 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1952390163.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952390163, enumerated as an "organization" on October 19, 2005.

The provider is located at 1315 S 11TH ST BLACKWELL, OK 74631 and the phone number is (580) 363-1624.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.