DIVINE HEALTHCARE SERVICES
NPI 1982999090
Nursing Facility/Intermediate Care Facility in Brown Deer, WI

NPI Status: Active since June 16, 2011

Contact Information

4238 W HAWTHORNE TRACE RD APT 104
BROWN DEER, WI
ZIP 53209
Phone: (414) 975-0121

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About DIVINE HEALTHCARE SERVICES

This page provides the complete NPI Profile along with additional information for Divine Healthcare Services, a provider established in Brown Deer, Wisconsin operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1982999090 assigned on June 2011. The practitioner's primary taxonomy code is 313M00000X with license number 126208-30 (WI). 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 Gold Omereonye (Owner)

NPI
1982999090
Provider Name
DIVINE HEALTHCARE SERVICES
Entity Type
Organization
Location Address
4238 W HAWTHORNE TRACE RD APT 104 BROWN DEER, WI 53209
Location Phone
(414) 975-0121
Mailing Address
4238 W HAWTHORNE TRACE RD APT 104 BROWN DEER, WI 53209
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2011
Last Update Date
06-16-2011
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
126208-30
License State
WI
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.

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

GOLD OMEREONYE

Authorized Official Title
OWNER
Authorized Official Phone
(414) 975-0121

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
271904077OTHER (01)TXIRS

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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 1982999090, we treat the final digit (0) 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 1 + 8 + 9 + 1 + 8 + 0 + 1 + 8 + 24 = 80

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

The next multiple of ten after 80 is 80. The difference is the calculated check digit.

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1982999090.

Other Providers at the Same Location


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

Registered Nurse
4238 W HAWTHORNE TRACE RD APT 104, #104
BROWN DEER, WI 53209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982999090, enumerated as an "organization" on June 16, 2011.

The provider is located at 4238 W HAWTHORNE TRACE RD APT 104 BROWN DEER, WI 53209 and the phone number is (414) 975-0121.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.