IVY HALL NURSING HOME
NPI 1851362511
Nursing Facility/intermediate Care Facility in Elizabethton,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

301 S Watauga Ave
Elizabethton,
Post Code: 37643
Phone: (423) 542-6512
Fax: (423) 542-9311

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Ivy Hall Nursing Home in Elizabethton - Nursing Facility/Intermediate Care Facility

Ivy Hall Nursing Home is a Nursing Facility/Intermediate Care Facility in Elizabethton, . Ivy Hall Nursing Home practices all healthcare services and medical treatments related to Nursing Facility/Intermediate Care Facility. The NPI Number for Ivy Hall Nursing Home is 1851362511. The last update date is 2014-09-05.

Ivy Hall Nursing Home's current location address is 301 S Watauga Ave, Elizabethton, . You can contact this provider via phone number (423) 542-6512 and fax number (423) 542-9311. The mailing address for Ivy Hall Nursing Home is 301 S Watauga Ave, Elizabethton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1851362511
Provider Legal Name
IVY HALL, INC
Other Organization Name
IVY HALL NURSING HOME
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
301 S Watauga Ave, Elizabethton,
Location Phone
(423) 542-6512
Location Fax
(423) 542-9311
Mailing Address
301 S Watauga Ave, Elizabethton, Tennessee(TN)
Mailing Phone
423-542-6512
Mailing Fax
423-542-9311
Enumeration Date
2006-01-31
Last Update Date
2014-09-05
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.
0000000025
License State
Tennessee (TN)
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 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

0000000025 (Tennessee)

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
0445469 MEDICAID (05) Tennessee (TN)
7440103 MEDICAID (05) Tennessee (TN)

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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.
1851362511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2810166452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2810166452
2 + 8 + 1 + 0 + 1 + 6 + 6 + 4 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1851362511 is valid because the calculated check digit 1 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
1841293891 ELMER RICKEY GIBBS
Individual
Surgery 49 CLEVELAND ST 310
CROSSVILLE, Tennessee (TN)
931-787-1232
1659374601 WENDY TIPTON OBERDICK
Individual
Family Medicine PO BOX 9
KINGSPORT, Tennessee (TN)
423-857-2066
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1134122187 CHERYL DENISE RUDNICKE
Individual
Nurse Practitioner PO BOX 440100
NASHVILLE, Tennessee (TN)
615-986-4102
1003819046 BARBARA H NYLANDER
Individual
Obstetrics & Gynecology, Gynecology 3024 BUSINESS PARK CIR
GOODLETTSVILLE, Tennessee (TN)
615-851-6033