EASTERN STAR MASONIC HOME
NPI 1740283795
Custodial Care Facility in Boone,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

715 W Mamie Eisenhower Ave
Boone,
Post Code: 50036
Phone: (515) 432-5274
Fax: (515) 432-5276

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Eastern Star Masonic Home in Boone - Custodial Care Facility

Eastern Star Masonic Home is a Custodial Care Facility in Boone, . Eastern Star Masonic Home practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Eastern Star Masonic Home is 1740283795. The last update date is 2024-03-05.

Eastern Star Masonic Home's current location address is 715 W Mamie Eisenhower Ave, Boone, . You can contact this provider via phone number (515) 432-5274 and fax number (515) 432-5276. The mailing address for Eastern Star Masonic Home is 715 W Mamie Eisenhower Ave, Boone, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1740283795
Provider Legal Name
EASTERN STAR MASONIC HOME
Other Organization Name
EASTERN STAR MASONIC HOME
Other Name Type
-
Entity Type
Organization
Location Address
715 W Mamie Eisenhower Ave, Boone,
Location Phone
(515) 432-5274
Location Fax
(515) 432-5276
Mailing Address
715 W Mamie Eisenhower Ave, Boone, Iowa(IA)
Mailing Phone
515-432-5274
Mailing Fax
515-432-5276
Enumeration Date
2005-05-23
Last Update Date
2024-03-05
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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
-
License No.
N-0268
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 311Z00000X -

Custodial Care Facility

R-268 (Iowa)
2 314000000X -

Skilled Nursing Facility

N-0268 (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
0801076 MEDICAID (05) Iowa (IA)
0890210 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.
1740283795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780486718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2780486718
2 + 7 + 8 + 0 + 4 + 8 + 6 + 7 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 5 5

The NPI number 1740283795 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
1417950569 GLENN RAY JOHNSON
Individual
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1679576623 PLEASANT HILL FAMILY PRACTICE,PC
Organization
Family Medicine 5148 E UNIVERSITY AVE
PLEASANT HILL, Iowa (IA)
515-126-6119
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
1649273772 JAMES W ROEDER
Individual
Specialist 915 13TH AVE N
CLINTON, Iowa (IA)
563-243-2511