JACKSON VA CARE SITE
NPI 1154784965
Psychiatric Residential Treatment Facility in Jackson, MS

NPI Status: Active since March 30, 2016

Contact Information

1500 WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (615) 355-3451

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • Accepts Insurance

About JACKSON VA CARE SITE

This page provides the complete NPI Profile along with additional information for Jackson Va Care Site, a provider established in Jackson, Mississippi operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1154784965 assigned on March 2016. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Jackson Va Care Site. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1154784965
Provider Legal Name
JACKSON VAMC
Other Organization Name
JACKSON VA CARE SITE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1500 WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94497 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2016
Last Update Date
10-04-2017
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Insurance Plans Accepted

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

  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

*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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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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.
1154784965
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041488912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 8 + 8 + 9 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154784965 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639272693 CHARLES GERARD SHERWOOD MD
Individual
Ophthalmology1500 WOODROW WILSON AVE G. V. 'SONNY' MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216
(601) 362-4471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154784965, enumerated in the NPI registry as an "organization" on March 30, 2016

The provider is located at 1500 Woodrow Wilson Ave Jackson, Ms 39216 and the phone number is (615) 355-3451

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider might be accepting Accepts: Cigna Healthcare. 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 March 30, 2016. 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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