MARY TAYLOR HOMES
NPI 1124157730
Community Based Residential Treatment Facility, Mental Illness in La Grange, NC

NPI Status: Active since March 02, 2007

Contact Information

6957 NC HIGHWAY 903 S
LA GRANGE, NC
ZIP 28551
Phone: (252) 566-8455
Fax: (252) 566-8455

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About MARY TAYLOR HOMES

This page provides the complete NPI Profile along with additional information for Mary Taylor Homes, a provider established in La Grange, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1124157730 assigned on March 2007. The practitioner's primary taxonomy code is 320800000X with license number MHL-040-036 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Charlene Gage Rn (Executive Director)

NPI
1124157730
Provider Name
MARY TAYLOR HOMES
Entity Type
Organization
Location Address
6957 NC HIGHWAY 903 S LA GRANGE, NC 28551
Location Phone
(252) 566-8455
Location Fax
(252) 566-8455
Mailing Address
6957 NC HIGHWAY 903 S LA GRANGE, NC 28551
Mailing Phone
(252) 566-8455
Mailing Fax
(252) 566-8455
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2007
Last Update Date
09-01-2007
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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 Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
MHL-040-036
License State
NC
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
1251B00000XAgencies

Case Management

MHL-040-036 (NC)
2251C00000XAgencies

Day Training, Developmentally Disabled Services

MHL-040-036 (NC)
3261QA0005XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Family Planning Facility

MHL-040-036 (NC)
43104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

MHL-040-036 (NC)
5311Z00000XNursing & Custodial Care Facilities

Custodial Care Facility

MHL-040-036 (NC)
6315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

MHL-040-036 (NC)
7320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MHL-040-036 (NC)
8320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

MHL-040-036 (NC)
9332900000XSuppliers

Non-Pharmacy Dispensing Site

MHL-040-036 (NC)
103336L0003XSuppliers

Pharmacy
Long Term Care Pharmacy

MHL-040-036 (NC)
11343900000XTransportation Services

Non-emergency Medical Transport (VAN)

MHL-040-036 (NC)
12347C00000XTransportation Services

Private Vehicle

MHL-040-036 (NC)
13385H00000XRespite Care Facility

Respite Care

MHL-040-036 (NC)

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. CHARLENE GAGE RN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(252) 566-8455

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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.
1124157730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144251476
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 2 + 5 + 1 + 4 + 7 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124157730 is valid because the calculated check digit 0 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 1124157730, enumerated in the NPI registry as an "organization" on March 02, 2007

The provider is located at 6957 Nc Highway 903 S La Grange, Nc 28551 and the phone number is (252) 566-8455

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on March 02, 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].
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