GREENRIDGE COMMUNITY INTEGRATION HOME
NPI 1023235587
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stone Mountain, GA
NPI Status: Active since April 19, 2007
Contact Information
508 GREENRIDGE CIR
STONE MOUNTAIN, GA
ZIP 30083
Phone: (404) 586-9230
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 11D2057066
- CLIA Cert. Type: Other - COMMUNITY INTEGRATED HOME
- CLIA Exp. Date: 04-08-2025
About GREENRIDGE COMMUNITY INTEGRATION HOME
This page provides the complete NPI Profile along with additional information for Greenridge Community Integration Home, a provider established in Stone Mountain, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1023235587 assigned on April 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 044232 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ralph Salandy (Manager)
- NPI
- 1023235587
- Provider Name
- GREENRIDGE COMMUNITY INTEGRATION HOME
- Entity Type
- Organization
- Location Address
- 508 GREENRIDGE CIR STONE MOUNTAIN, GA 30083
- Location Phone
- (404) 586-9230
- Mailing Address
- 508 GREENRIDGE CIR STONE MOUNTAIN, GA 30083
- Mailing Phone
- (404) 586-9230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 044232
- License State
- GA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2057066
- Facility Type
- Other - COMMUNITY INTEGRATED HOME
- Certificate Effective Date
- April 09, 2023
- Certificate Expiration Date
- April 08, 2025
- Laboratory Director
- DELQUIS MENDOZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Greenridge Community Integration Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 3 | 5 | 5 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 3 | 10 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 3 + 1 + 0 + 5 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1023235587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023235587, enumerated in the NPI registry as an "organization" on April 19, 2007
The provider is located at 508 Greenridge Cir Stone Mountain, Ga 30083 and the phone number is (404) 586-9230
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 11D2057066 for a "other - community integrated home" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.