CRYSTAL LODGE INVESTORS
NPI 1083698328
Clinic/center in Phoenix,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 30, 2005

Contact Information

2941 N 14th St
Phoenix,
Post Code: 85014
Phone: (602) 279-1033
Fax: (602) 277-5604

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Crystal Lodge Investors in Phoenix - Clinic/Center

Crystal Lodge Investors is a Clinic/Center in Phoenix, . Crystal Lodge Investors practices all healthcare services and medical treatments related to Clinic/Center. The NPI Number for Crystal Lodge Investors is 1083698328. The last update date is 2024-10-23.

Crystal Lodge Investors's current location address is 2941 N 14th St, Phoenix, . You can contact this provider via phone number (602) 279-1033 and fax number (602) 277-5604. The mailing address for Crystal Lodge Investors is 2941 N 14th St, Phoenix, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083698328
Provider Legal Name
THE LODGE AT 14TH ST.
Other Organization Name
CRYSTAL LODGE INVESTORS
Other Name Type
Former Legal Business Name(4)
Entity Type
Organization
Location Address
2941 N 14th St, Phoenix,
Location Phone
(602) 279-1033
Location Fax
(602) 277-5604
Mailing Address
2941 N. 14th St., Phoenix, Arizona(AZ)
Mailing Phone
602-279-1033
Mailing Fax
602-277-5367
Enumeration Date
2005-11-30
Last Update Date
2024-10-23
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
-
License No.
-
License State
-
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 261Q00000X Clinic/Center

Clinic/Center

ALC 4746 (Arizona)
2 282J00000X Religious Nonmedical Health Care Institution

Religious Nonmedical Health Care Institution

ALC-4746 (Arizona)

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
629-256 MEDICAID (05) Arizona (AZ)
629256 MEDICAID (05) Arizona (AZ)

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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.
1083698328
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631291634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201631291634
2 + 0 + 1 + 6 + 3 + 1 + 2 + 9 + 1 + 6 + 3 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1083698328 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
1023011269 BENIGNO F DECENA
Individual
Internal Medicine, Cardiovascular Disease 4729 E CAMP LOWELL DR
TUCSON, Arizona (AZ)
520-838-3540
1013910157 COLEMAN WADE DAVIDSON
Individual
Obstetrics & Gynecology PO BOX 31235
TUCSON, Arizona (AZ)
520-324-4100
1053314138 ERIC S PERCY-FINE
Individual
Physical Therapist 8811 N 51ST AVE
GLENDALE, Arizona (AZ)
623-915-2726
1033112818 SUNGCHUN LEE
Individual
Internal Medicine, Nephrology 6622 N 91ST AVE
GLENDALE, Arizona (AZ)
602-759-6883
1023011806 GREGG FRIEDMAN
Individual
Chiropractor 4203 E INDIAN SCHOOL RD
PHOENIX, Arizona (AZ)
480-947-8381