INTREPID USA HEALTHCARE SERVICES
NPI 1720060304
Registered Nurse in Dallas,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 18, 2005

Contact Information

4055 Valley View Ln
Dallas,
Post Code: 75244
Phone: (214) 445-3750
Fax: (214) 445-3902

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Intrepid Usa Healthcare Services in Dallas - Registered Nurse

Intrepid Usa Healthcare Services is a Registered Nurse in Dallas, . Intrepid Usa Healthcare Services practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Intrepid Usa Healthcare Services is 1720060304. The last update date is 2016-04-19.

Intrepid Usa Healthcare Services's current location address is 4055 Valley View Ln, Dallas, . You can contact this provider via phone number (214) 445-3750 and fax number (214) 445-3902. The mailing address for Intrepid Usa Healthcare Services is 4055 Valley View Ln, Dallas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1720060304
Provider Legal Name
FC OF MISSOURI INC
Other Organization Name
INTREPID USA HEALTHCARE SERVICES
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
4055 Valley View Ln, Dallas,
Location Phone
(214) 445-3750
Location Fax
(214) 445-3902
Mailing Address
4305 S. National Ave, Springfield, Missouri(MO)
Mailing Phone
417-883-5118
Mailing Fax
417-883-7436
Enumeration Date
2005-11-18
Last Update Date
2016-04-19
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

Home Health

Taxonomy Code
251E00000X
Type
-
License No.
750-7HH
License State
Missouri (MO)
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 163W00000X Registered Nurse

Registered Nurse

HHA7502 (Missouri)
2 163W00000X Registered Nurse

Registered Nurse

943539809 (Missouri)
3 251E00000X Home Health Agency

Home Health

HHA7502 (Missouri)
4 3747P1801X Personal Care Attendant

Technician, Personal Care Attendant

263539801 (Missouri)
5 374U00000X Home Health Aide

Home Health Aide

0002286 (Missouri)
6 376J00000X Homemaker

Homemaker

HHA7502 (Missouri)
7 376J00000X Homemaker

Homemaker

283539807 (Missouri)

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
283539807 MEDICAID (05) Missouri (MO)
581962909 MEDICAID (05) Missouri (MO)
943539809 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.
1720060304
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274006030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 274006030
2 + 7 + 4 + 0 + 0 + 6 + 0 + 3 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1720060304 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
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1669475711 BIN SHENG SUNG
Individual
Pediatrics 7629 TIKI DR
FULSHEAR, Texas (TX)
281-346-0018
1396748349 GEORGE M GRUNERT
Individual
Obstetrics & Gynecology, Reproductive Endocrinology 7900 FANNIN ST STE 4000
HOUSTON, Texas (TX)
713-512-7900
1619970662 LISA AMY FRIEDMAN
Individual
Nurse Practitioner, Pediatrics 333 N SANTA ROSA
SAN ANTONIO, Texas (TX)
210-704-2190
1598768541 BERTHA E. ARENAS
Individual
Nurse Practitioner, Family 1702 N ALAMO ST
SAN ANTONIO, Texas (TX)
210-224-1823