PINE SHADOW RETREAT
NPI 1225019755
Nursing Facility/intermediate Care Facility in Porter,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 10, 2005

Contact Information

Po Box 889
Porter,
Post Code: 77365
Phone: (281) 354-2155
Fax: (281) 354-6515

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Pine Shadow Retreat in Porter - Nursing Facility/Intermediate Care Facility

Pine Shadow Retreat is a Nursing Facility/Intermediate Care Facility in Porter, . Pine Shadow Retreat practices all healthcare services and medical treatments related to Nursing Facility/Intermediate Care Facility. The NPI Number for Pine Shadow Retreat is 1225019755. The last update date is 2020-08-22.

Pine Shadow Retreat's current location address is Po Box 889, Porter, . You can contact this provider via phone number (281) 354-2155 and fax number (281) 354-6515. The mailing address for Pine Shadow Retreat is Po Box 889, Porter, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1225019755
Provider Legal Name
LEWIS HEALTH CARE FACILITY INC
Other Organization Name
PINE SHADOW RETREAT
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
Po Box 889, Porter,
Location Phone
(281) 354-2155
Location Fax
(281) 354-6515
Mailing Address
23450 Pine Shadow Lane, Porter, Texas(TX)
Mailing Phone
281-354-2155
Mailing Fax
281-354-6515
Enumeration Date
2005-11-10
Last Update Date
2020-08-22
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.

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 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

000448902 (Texas)
2 332BN1400X Nursing Facility Supplies (DME)

Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies

DME00G318 (Texas)
3 332BP3500X Parenteral & Enteral Nutrition Supplies (DME)

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

1072420001 ()

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
000448902 MEDICAID (05) Texas (TX)
DME00G318 Other (non-Medicare) (01) Texas (TX) State License #

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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.
1225019755
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22450118710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22450118710
2 + 2 + 4 + 5 + 0 + 1 + 1 + 8 + 7 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1225019755 is valid because the calculated check digit 5 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
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1205839230 MERCY EMS, LLC
MERCY EMS
Organization
Ambulance, Land Transport 15401 ADDISON RD
ADDISON, Texas (TX)
972-788-9401
1164425195 MARIE DENISE JARBATH
Individual
Physician Assistant 17448 HIGHWAY 3
WEBSTER, Texas (TX)
281-338-4443
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
HOUSTON, Texas (TX)
713-781-3517
1215930268 CHARLES L YEN
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006