LINCOLN RESIDENTIAL CENTER
NPI 1174505010
Intermediate Care Facility, Intellectual Disabilities in Brookhaven,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 16, 2005

Contact Information

524 Brookman Dr
Brookhaven,
Post Code: 39601
Phone: (601) 835-1884
Fax: (601) 833-0430

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Lincoln Residential Center in Brookhaven - Intermediate Care Facility, Intellectual Disabilities

Lincoln Residential Center is a Intermediate Care Facility, Intellectual Disabilities in Brookhaven, . Lincoln Residential Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Lincoln Residential Center is 1174505010. The last update date is 2011-06-28.

Lincoln Residential Center's current location address is 524 Brookman Dr, Brookhaven, . You can contact this provider via phone number (601) 835-1884 and fax number (601) 833-0430. The mailing address for Lincoln Residential Center is 524 Brookman Dr, Brookhaven, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1174505010
Provider Legal Name
PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Other Organization Name
LINCOLN RESIDENTIAL CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
524 Brookman Dr, Brookhaven,
Location Phone
(601) 835-1884
Location Fax
(601) 833-0430
Mailing Address
5420 W Plano Pkwy, Plano, Texas(TX)
Mailing Phone
972-931-3800
Mailing Fax
972-767-6222
Enumeration Date
2005-11-16
Last Update Date
2011-06-28
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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
-
License No.
629
License State
Mississippi (MS)
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
00220055 MEDICAID (05) Mississippi (MS)

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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.
1174505010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441001002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211441001002
2 + 1 + 1 + 4 + 4 + 1 + 0 + 0 + 1 + 0 + 0 + 2 + 24 = 40
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 1174505010 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
1154324366 RAY JAIME RODRIGUEZ
Individual
Allergy & Immunology 7730 OLD CANTON RD BLDG B
MADISON, Mississippi (MS)
601-499-0935
1164425088 CASEY B MCGHEE
Individual
Physical Therapist 7580 CLARINGTON CV
SOUTHAVEN, Mississippi (MS)
901-641-3000
1043213853 VELMA SUE MORRISSON
Individual
Nurse Practitioner, Family 474 W BANKHEAD ST
NEW ALBANY, Mississippi (MS)
662-534-7777
1154324895 HECTOR A DOX
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) PO BOX 405827
ATLANTA, Georgia (GA)
1104829597 HOGAN SURGICAL CENTER, P. A.
Organization
Clinic/Center, Ambulatory Surgical 351 COWAN RD
GULFPORT, Mississippi (MS)
228-896-1120