CHG-PCS SALISBURY
NPI 1093079253
Home Health in Salisbury, NC

NPI Status: Active since July 02, 2012

Contact Information

909 S MAIN ST
SALISBURY, NC
ZIP 28144
Phone: (704) 720-0668
Fax: (704) 720-0669

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  • Organization
  • Home Health

About CHG-PCS SALISBURY

This page provides the complete NPI Profile along with additional information for Chg-pcs Salisbury, a provider established in Salisbury, North Carolina operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1093079253 assigned on July 2012. The practitioner's primary taxonomy code is 251E00000X with license number HC3919 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Timothy Fonville (Owner)

NPI
1093079253
Provider Name
CHG-PCS SALISBURY
Entity Type
Organization
Location Address
909 S MAIN ST SALISBURY, NC 28144
Location Phone
(704) 720-0668
Location Fax
(704) 720-0669
Mailing Address
PO BOX 554 SALISBURY, NC 28145
Mailing Phone
(704) 720-0668
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-02-2012
Last Update Date
07-02-2012
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
HC3919
License State
NC
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. TIMOTHY FONVILLE

Authorized Official Title
OWNER
Authorized Official Phone
(704) 267-6324

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
6602312MEDICAID (05)NC 

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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.
1093079253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201830718210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 7 + 1 + 8 + 2 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1093079253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053328898 HAROLD REEDER L.C.S.W.
Individual
Social Worker (Clinical)909 S MAIN ST SUITE 210
SALISBURY, NC 28144
(704) 636-5450
1629194576DR. KAREN LYNN DONELSON R.D., L.D.N., PH.D.
Individual
Dietitian, Registered909 S MAIN ST SUITE 105
SALISBURY, NC 28144
(704) 630-6414
1326406729IWIN, LLC
Organization
Community/Behavioral Health909 S MAIN ST SUITE 206
SALISBURY, NC 28144
(704) 754-6690
1295278703SALISBURY TRANSPORTATION INC
Organization
Taxi909 S MAIN ST 205
SALISBURY, NC 28144
(704) 431-6765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093079253, enumerated in the NPI registry as an "organization" on July 02, 2012

The provider is located at 909 S Main St Salisbury, Nc 28144 and the phone number is (704) 720-0668

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 02, 2012. 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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