SENIOR VILLAGE NURSING HOME
NPI 1386615920
Nursing Facility/intermediate Care Facility in Lubbock,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

1212 13th St
Lubbock,
Post Code: 79401
Phone: (806) 747-3447
Fax: (806) 747-1632

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Senior Village Nursing Home in Lubbock - Nursing Facility/Intermediate Care Facility

Senior Village Nursing Home is a Nursing Facility/Intermediate Care Facility in Lubbock, . Senior Village Nursing Home practices all healthcare services and medical treatments related to Nursing Facility/Intermediate Care Facility. The NPI Number for Senior Village Nursing Home is 1386615920. The last update date is 2020-08-22.

Senior Village Nursing Home's current location address is 1212 13th St, Lubbock, . You can contact this provider via phone number (806) 747-3447 and fax number (806) 747-1632. The mailing address for Senior Village Nursing Home is 1212 13th St, Lubbock, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1386615920
Provider Legal Name
MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC
Other Organization Name
SENIOR VILLAGE NURSING HOME
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1212 13th St, Lubbock,
Location Phone
(806) 747-3447
Location Fax
(806) 747-1632
Mailing Address
3101 S Main St, Perryton, Texas(TX)
Mailing Phone
806-435-5403
Mailing Fax
806-435-5055
Enumeration Date
2006-01-31
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.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
-
License No.
114751
License State
Texas (TX)
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
000446304 MEDICAID (05) Texas (TX)

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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.
1386615920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661211094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 231661211094
2 + 3 + 1 + 6 + 6 + 1 + 2 + 1 + 1 + 0 + 9 + 4 + 24 = 60
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 1386615920 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
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
1275536229 MEDFUND LLC
HORIZONS JANE BRANCH MEMORIAL MRI CENTER OF GARLAND LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1326041377 CHARLES LAWSON HEATON
Individual
Ophthalmology 3415 GOLDEN RD
TYLER, Texas (TX)
903-526-0444