BETHEL MANOR
NPI 1619964988
Alzheimer Center (dementia Center) in Evansville,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 3, 2005

Contact Information

6015 Kratzville Road
Evansville,
Post Code: 47710
Phone: (812) 425-8182
Fax: (812) 422-7698

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Bethel Manor in Evansville - Alzheimer Center (Dementia Center)

Bethel Manor is a Alzheimer Center (Dementia Center) in Evansville, . Bethel Manor practices all healthcare services and medical treatments related to Alzheimer Center (Dementia Center). The NPI Number for Bethel Manor is 1619964988. The last update date is 2022-08-17.

Bethel Manor's current location address is 6015 Kratzville Road, Evansville, . You can contact this provider via phone number (812) 425-8182 and fax number (812) 422-7698. The mailing address for Bethel Manor is 6015 Kratzville Road, Evansville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1619964988
Provider Legal Name
HENRY COUNTY MEMORIAL HOSPITAL
Other Organization Name
BETHEL MANOR
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
6015 Kratzville Road, Evansville,
Location Phone
(812) 425-8182
Location Fax
(812) 422-7698
Mailing Address
6015 Kratzville Road, Evansville, Indiana(IN)
Mailing Phone
812-425-8182
Mailing Fax
812-422-7698
Enumeration Date
2005-10-03
Last Update Date
2022-08-17
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.
11-000436-1
License State
Indiana (IN)
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 311500000X Alzheimer Center (Dementia Center)

Alzheimer Center (Dementia Center)

11-000436-1 (Indiana)
2 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

11-000436-1 (Indiana)

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
100275120 MEDICAID (05) Indiana (IN)

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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.
1619964988
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291868916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 26291868916
2 + 6 + 2 + 9 + 1 + 8 + 6 + 8 + 9 + 1 + 6 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 8 8

The NPI number 1619964988 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
1497758429 FORT WAYNE ORTHOPAEDICS LLC
Organization
Orthopaedic Surgery, Hand Surgery PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1487657417 DANIEL W CAREY
Individual
Social Worker, Clinical 850 N HARRISON ST
WARSAW, Indiana (IN)
574-267-7169
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1437152469 STEVEN E FISHER
Individual
Orthopaedic Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331