BLACKHAWK LIFE CARE CENTER
NPI 1649242074
Skilled Nursing Facility in Lake View,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

73 W 5th St
Lake View,
Post Code: 51450
Phone: (712) 657-8527
Fax: (712) 657-8618

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Blackhawk Life Care Center in Lake View - Skilled Nursing Facility

Blackhawk Life Care Center is a Skilled Nursing Facility in Lake View, . Blackhawk Life Care Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Blackhawk Life Care Center is 1649242074. The last update date is 2022-01-11.

Blackhawk Life Care Center's current location address is 73 W 5th St, Lake View, . You can contact this provider via phone number (712) 657-8527 and fax number (712) 657-8618. The mailing address for Blackhawk Life Care Center is 73 W 5th St, Lake View, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1649242074
Provider Legal Name
BLACKHAWK LIFECARE INC
Other Organization Name
BLACKHAWK LIFE CARE CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
73 W 5th St, Lake View,
Location Phone
(712) 657-8527
Location Fax
(712) 657-8618
Mailing Address
73 W 5th St, Lake View, Iowa(IA)
Mailing Phone
712-657-8527
Mailing Fax
712-657-8618
Enumeration Date
2006-02-01
Last Update Date
2022-01-11
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.
N-547
License State
Iowa (IA)
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 314000000X Skilled Nursing Facility

Skilled Nursing Facility

810547 (Iowa)

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
0808683 MEDICAID (05) Iowa (IA)

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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.
1649242074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689444014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2689444014
2 + 6 + 8 + 9 + 4 + 4 + 4 + 0 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1649242074 is valid because the calculated check digit 4 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
1417950569 GLENN RAY JOHNSON
Individual
Orthopaedic Surgery 2215 BIG TIMBER RD
CALMAR, Iowa (IA)
1326041369 SKIFF MEDICAL CENTER
SKIFF HOME CARE/JASPER COUNTY PUBLIC HEALTH
Organization
Home Health 204 N 4TH AVE EAST
NEWTON, Iowa (IA)
641-792-5086
1497758676 RUSSELL R VANHEMERT
Individual
Chiropractor, Sports Physician PO BOX 26
PELLA, Iowa (IA)
641-628-2099
1528061736 JAMES BRYAN KICKLAND
Individual
Chiropractor 1101 E. 7TH ST.
ATLANTIC, Iowa (IA)
712-243-5790
1215930441 SKIFF MEDICAL CENTER
Organization
General Acute Care Hospital 204 N 4TH AVE E
NEWTON, Iowa (IA)
641-792-1273