CARL JUNCTION RESIDENTIAL CARE
NPI 1033116520
Custodial Care Facility, Adult Care Home in Ballwin,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 30, 2005

Contact Information

312 Solley Dr
Ballwin,
Post Code: 63021
Phone: (636) 394-3000
Fax: (636) 394-7713

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Carl Junction Residential Care in Ballwin - Custodial Care Facility, Adult Care Home

Carl Junction Residential Care is a Custodial Care Facility, Adult Care Home in Ballwin, . Carl Junction Residential Care practices all healthcare services and medical treatments related to Custodial Care Facility, Adult Care Home. The NPI Number for Carl Junction Residential Care is 1033116520. The last update date is 2007-10-30.

Carl Junction Residential Care's current location address is 312 Solley Dr, Ballwin, . You can contact this provider via phone number (636) 394-3000 and fax number (636) 394-7713. The mailing address for Carl Junction Residential Care is 312 Solley Dr, Ballwin, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1033116520
Provider Legal Name
COMMUNITY RESIDENCE, INC.
Other Organization Name
CARL JUNCTION RESIDENTIAL CARE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
312 Solley Dr, Ballwin,
Location Phone
(636) 394-3000
Location Fax
(636) 394-7713
Mailing Address
201 Fir Rd, Carl Junction, Missouri(MO)
Mailing Phone
417-782-5659
Mailing Fax
417-659-8880
Enumeration Date
2005-06-30
Last Update Date
2007-10-30
Code Navigator

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

Custodial Care Facility, Adult Care Home

Taxonomy Code
311ZA0620X
Type
-
License No.
029987
License State
Missouri (MO)
Taxonomy Description
-

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
268184108 MEDICAID (05) Missouri (MO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033116520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063211254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2063211254
2 + 0 + 6 + 3 + 2 + 1 + 1 + 2 + 5 + 4 + 24 = 50
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1033116520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033116165 ROULA AL-DAHHAK
Individual
Psychiatry & Neurology, Neurology 915 N GRAND BLVD # A-139
SAINT LOUIS, Missouri (MO)
314-652-4100
1033116058 OTIS S LATIMER
Individual
Internal Medicine 5059 W 130TH TER
LEAWOOD, Kansas (KS)
1033115811 CHRISTINE ANN NEMETI
Individual
Social Worker, Clinical PO BOX 4000
SPRINGFIELD, Missouri (MO)
1033115589 SHULAMIT MENASHE PORTNOY
Individual
Pediatrics 1465 S GRAND BLVD
ST. LOUIS, Missouri (MO)
314-577-5609
1033115480 JAMIE LYNN SHEDELBOWER
Individual
Physician Assistant 915 N GRAND BLVD
SAINT LOUIS, Missouri (MO)
314-289-6376