SWAIN STREET GROUP HOME
NPI 1104939313
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Wilkesboro, NC
NPI Status: Active since August 15, 2006
Contact Information
1224 SWAIN ST
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 838-7220
Fax: (336) 838-3490
- Organization
- Residential Treatment Facility, Intellec...
About SWAIN STREET GROUP HOME
This page provides the complete NPI Profile along with additional information for Swain Street Group Home, a provider established in North Wilkesboro, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104939313 assigned on August 2006. The practitioner's primary taxonomy code is 320600000X with license number MHL097046 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Swain Street Group Home. The authorized official of this NPI record is Mrs. Shelley Darlene Gamble (Executive Director)
- NPI
- 1104939313
- Provider Legal Name
- BRUSHY MOUNTAIN GROUP HOMES, INC
- Other Organization Name
- SWAIN STREET GROUP HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1224 SWAIN ST NORTH WILKESBORO, NC 28659
- Location Phone
- (336) 838-7220
- Location Fax
- (336) 838-3490
- Mailing Address
- PO BOX 1045 NORTH WILKESBORO, NC 28659
- Mailing Phone
- (336) 838-3789
- Mailing Fax
- (336) 838-3490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2006
- Last Update Date
- 06-19-2008
- 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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL097046
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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.
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 |
|---|---|---|---|
| 7804483 | MEDICAID (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. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 3 | 9 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 3 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 3 + 1 + 8 + 3 + 2 + 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 = 3 | 3 | ||||||||
The NPI number 1104939313 is valid because the calculated check digit 3 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 1104939313, enumerated in the NPI registry as an "organization" on August 15, 2006
The provider is located at 1224 Swain St North Wilkesboro, Nc 28659 and the phone number is (336) 838-7220
This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X
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 August 15, 2006. 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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