GORDEN FON KEM BUMBARA
NPI 1104300102
Case Manager/Care Coordinator in Adelphi, MD
NPI Status: Active since September 17, 2018
- Individual
- Male
- Case Manager/Care Coordinator
About GORDEN FON KEM BUMBARA
This page provides the complete NPI Profile along with additional information for Gorden Fon Kem Bumbara, a provider established in Adelphi, Maryland with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1104300102 assigned on September 2018. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1104300102
- Provider Name
- GORDEN FON KEM BUMBARA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1906 FOX ST ADELPHI, MD 20783
- Location Phone
- (240) 476-9815
- Mailing Address
- 1906 FOX ST ADELPHI, MD 20783
- Mailing Phone
- (240) 476-9815
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-17-2018
- Last Update Date
- 08-04-2023
- 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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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 | 374U00000X | Nursing Service Related Providers | Home Health Aide | HHA13955 (DC) |
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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 | 1 | 0 | 4 | 3 | 0 | 0 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 6 | 0 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 6 + 0 + 0 + 1 + 0 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1104300102 is valid because the calculated check digit 2 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 1104300102, enumerated in the NPI registry as an "individual" on September 17, 2018
The provider is located at 1906 Fox St Adelphi, Md 20783 and the phone number is (240) 476-9815
The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X
This NPI record was last updated on September 17, 2018. 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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