INPUT RESIDENTIAL
NPI 1205334208
Day Training, Developmentally Disabled Services in Indianapolis, IN

NPI Status: Active since January 25, 2018

Contact Information

8117 E WASHINGTON ST
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 222-9888

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  • Organization
  • Day Training, Developmentally Disabled S...
  • CLIA Number: 15D2209607
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 01-13-2027

About INPUT RESIDENTIAL

This page provides the complete NPI Profile along with additional information for Input Residential, a provider established in Indianapolis, Indiana operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1205334208 assigned on January 2018. The practitioner's primary taxonomy code is 251C00000X with license number 251C0000X (IN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ms. Tanya Davis (Ceo)

NPI
1205334208
Provider Name
INPUT RESIDENTIAL
Entity Type
Organization
Location Address
8117 E WASHINGTON ST INDIANAPOLIS, IN 46219
Location Phone
(317) 222-9888
Mailing Address
8117 E WASHINGTON ST INDIANAPOLIS, IN 46219
Mailing Phone
(317) 222-9888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
01-25-2018
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
251C0000X
License State
IN
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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. TANYA DAVIS

Authorized Official Title
CEO
Authorized Official Phone
(317) 222-9888

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2209607
Facility Type
Public Health Laboratories
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
TANYA L. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Input Residential to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1205334208
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220563820
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 3 + 8 + 2 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1205334208 is valid because the calculated check digit 8 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 1205334208, enumerated in the NPI registry as an "organization" on January 25, 2018

The provider is located at 8117 E Washington St Indianapolis, In 46219 and the phone number is (317) 222-9888

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

The provider's CLIA number is 15D2209607 for a "public health laboratories" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 25, 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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