STACYVILLE COMMUNITY NURSING HOME
NPI 1053396218
Custodial Care Facility in Stacyville,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 9, 2005

Contact Information

413 S. Broad Street
Stacyville,
Post Code: 50476
Phone: (641) 710-2215
Fax: (641) 710-2158

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Stacyville Community Nursing Home in Stacyville - Custodial Care Facility

Stacyville Community Nursing Home is a Custodial Care Facility in Stacyville, . Stacyville Community Nursing Home practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Stacyville Community Nursing Home is 1053396218. The last update date is 2011-12-08.

Stacyville Community Nursing Home's current location address is 413 S. Broad Street, Stacyville, . You can contact this provider via phone number (641) 710-2215 and fax number (641) 710-2158. The mailing address for Stacyville Community Nursing Home is 413 S. Broad Street, Stacyville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053396218
Provider Legal Name
STACYVILLE COMMUNITY NURSING HOME
Other Organization Name
STACYVILLE COMMUNITY NURSING HOME
Other Name Type
-
Entity Type
Organization
Location Address
413 S. Broad Street, Stacyville,
Location Phone
(641) 710-2215
Location Fax
(641) 710-2158
Mailing Address
413 S. Broad Street, Stacyville, Iowa(IA)
Mailing Phone
641-710-2215
Mailing Fax
641-710-2158
Enumeration Date
2005-12-09
Last Update Date
2011-12-08
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.
660408
License State
Iowa (IA)
Taxonomy Description
-

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)
1 311Z00000X Custodial Care Facility

Custodial Care Facility

R-408 (Iowa)
2 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

660408 (Iowa)

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
0803783 MEDICAID (05) Iowa (IA)
0893107 MEDICAID (05) Iowa (IA)

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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.
1053396218
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103691222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20103691222
2 + 0 + 1 + 0 + 3 + 6 + 9 + 1 + 2 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1053396218 is valid because the calculated check digit 8 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
1033112669 CITY OF LA PORTE CITY
Organization
Ambulance, Land Transport 202 MAIN ST
LA PORTE CITY, Iowa (IA)
319-342-2232
1003819624 FELIPE COSCOLLUELA JAVIER
Individual
Allergy & Immunology 2710 SAINT FRANCIS DR STE 411
WATERLOO, Iowa (IA)
319-272-5000
1053314740 ROBERT S KELSEY
Individual
Podiatrist, Foot & Ankle Surgery 1500 DELHI ST
DUBUQUE, Iowa (IA)
563-557-5930
1013910603 MICHAEL ARNZ
Individual
Podiatrist, Foot & Ankle Surgery 1500 DELHI ST
DUBUQUE, Iowa (IA)
563-557-5930
1013910553 KAHL HOME FOR THE AGED & INFIRM
KAHL HOME FOR THE AGED & INFIRM
Organization
Skilled Nursing Facility 6701 JERSEY RIDGE ROAD
DAVENPORT, Iowa (IA)
563-324-1621