DIAKON FAMILY LIFE SERVICES
NPI 1053721191
Community/Behavioral Health in New Bloomfield, PA

NPI Status: Active since April 29, 2014

Contact Information

25 EAST MCCLURE STREET
NEW BLOOMFIELD BOROUGH BUILDING
NEW BLOOMFIELD, PA
ZIP 17068
Phone: (570) 795-0330
Fax: (570) 795-0407

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  • Organization
  • Community/Behavioral Health

About DIAKON FAMILY LIFE SERVICES

This page provides the complete NPI Profile along with additional information for Diakon Family Life Services, a provider established in New Bloomfield, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1053721191 assigned on April 2014. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Diakon Family Life Services. The authorized official of this NPI record is Ms. Rita A. Rousseau (Executive Director)

NPI
1053721191
Provider Legal Name
DIAKON CHILD, FAMILY & COMMUNITY
Other Organization Name
DIAKON FAMILY LIFE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25 EAST MCCLURE STREET NEW BLOOMFIELD BOROUGH BUILDING NEW BLOOMFIELD, PA 17068
Location Phone
(570) 795-0330
Location Fax
(570) 795-0407
Mailing Address
435 W 4TH ST WILLIAMSPORT, PA 17701
Mailing Phone
(570) 322-7873
Mailing Fax
(570) 795-0407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2014
Last Update Date
05-16-2014
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. RITA A. ROUSSEAU

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(717) 795-0368

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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.
1053721191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031422118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 4 + 2 + 2 + 1 + 1 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1053721191 is valid because the calculated check digit 1 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 1053721191, enumerated in the NPI registry as an "organization" on April 29, 2014

The provider is located at 25 East Mcclure Street New Bloomfield Borough Building New Bloomfield, Pa 17068 and the phone number is (570) 795-0330

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on April 29, 2014. 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].
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