HERITAGE SQUARE NURSING AND REHABILITATION CENTER, INC.
NPI 1043206360
Skilled Nursing Facility in Blytheville,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 22, 2005

Contact Information

710 N Ruddle Rd
Blytheville,
Post Code: 72315
Phone: (870) 763-3654
Fax: (870) 762-1172

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Heritage Square Nursing And Rehabilitation Center, Inc. in Blytheville - Skilled Nursing Facility

Heritage Square Nursing And Rehabilitation Center, Inc. is a Skilled Nursing Facility in Blytheville, . Heritage Square Nursing And Rehabilitation Center, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Heritage Square Nursing And Rehabilitation Center, Inc. is 1043206360. The last update date is 2016-06-30.

Heritage Square Nursing And Rehabilitation Center, Inc.'s current location address is 710 N Ruddle Rd, Blytheville, . You can contact this provider via phone number (870) 763-3654 and fax number (870) 762-1172. The mailing address for Heritage Square Nursing And Rehabilitation Center, Inc. is 710 N Ruddle Rd, Blytheville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1043206360
Provider Legal Name
HERITAGE SQUARE NURSING AND REHABILITATION CENTER, INC.
Other Organization Name
HERITAGE SQUARE NURSING AND REHABILITATION CENTER, INC.
Other Name Type
-
Entity Type
Organization
Location Address
710 N Ruddle Rd, Blytheville,
Location Phone
(870) 763-3654
Location Fax
(870) 762-1172
Mailing Address
710 N Ruddle Rd, Blytheville, Arkansas(AR)
Mailing Phone
870-763-3654
Mailing Fax
870-762-1172
Enumeration Date
2005-09-22
Last Update Date
2016-06-30
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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
672
License State
Arkansas (AR)
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
119680311 MEDICAID (05) Arkansas (AR)

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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.
1043206360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20834012312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20834012312
2 + 0 + 8 + 3 + 4 + 0 + 1 + 2 + 3 + 1 + 2 + 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 1043206360 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
1023011194 STEPHEN C. DOBRATZ
Individual
Internal Medicine, Cardiovascular Disease 2205 W MAIN ST
RUSSELLVILLE, Arkansas (AR)
479-968-2345
1003819996 AARON L. JANOS
Individual
Radiology, Diagnostic Radiology 500 SOUTH UNIVERSITY AVENUE
LITTLE ROCK, Arkansas (AR)
501-664-3914
1033112461 DAVID NEIL BROTMAN
Individual
Surgery 1000 W. KINGSHIGHWAY
PARAGOULD, Arkansas (AR)
870-239-8107
1033112420 LYDIA F LANE
Individual
Ophthalmology 9800 LILE DR
LITTLE ROCK, Arkansas (AR)
501-224-5658
1033112446 GRAHAM HOLT
Individual
Optometrist 211 MCAULEY CT
HOT SPRINGS, Arkansas (AR)
501-624-0609