MARYMOUNT MANOR ASSISTED LIVING
NPI 1629052915
Assisted Living Facility in Fenton,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 1, 2005

Contact Information

1749 Gilsinn Ln
Fenton,
Post Code: 63026
Phone: (636) 349-2311
Fax: (636) 349-6491

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Marymount Manor Assisted Living in Fenton - Assisted Living Facility

Marymount Manor Assisted Living is a Assisted Living Facility in Fenton, . Marymount Manor Assisted Living practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Marymount Manor Assisted Living is 1629052915. The last update date is 2020-08-22.

Marymount Manor Assisted Living's current location address is 1749 Gilsinn Ln, Fenton, . You can contact this provider via phone number (636) 349-2311 and fax number (636) 349-6491. The mailing address for Marymount Manor Assisted Living is 1749 Gilsinn Ln, Fenton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1629052915
Provider Legal Name
MID AMERICA HEALTHCARE LP
Other Organization Name
MARYMOUNT MANOR ASSISTED LIVING
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1749 Gilsinn Ln, Fenton,
Location Phone
(636) 349-2311
Location Fax
(636) 349-6491
Mailing Address
313 Augustine Rd, Eureka, Missouri(MO)
Mailing Phone
636-938-6770
Mailing Fax
636-938-3742
Enumeration Date
2005-12-01
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
-
License No.
031631
License State
Missouri (MO)
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
261491005 MEDICAID (05) Missouri (MO)

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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.
1629052915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264905492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 264905492
2 + 6 + 4 + 9 + 0 + 5 + 4 + 9 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1629052915 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
1205839354 EMIL A DIFILIPPO
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1477556405 CHARLES M LINSENMEYER
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1366445314 KEVIN A NETTESHEIM
Individual
Podiatrist, Foot & Ankle Surgery 4305 BUTLER HILL RD STE B
SAINT LOUIS, Missouri (MO)
314-849-9009
1124021142 MARK H DEWOLFE
Individual
Internal Medicine, Hematology & Oncology 5400 N OAK TRFY
KANSAS CITY, Missouri (MO)
816-454-1658
1396748315 GREGORY B BARBER
Individual
Specialist 17501 E 40 HWY
INDEPENDENCE, Missouri (MO)
816-478-4887