SOUTH COUNTY TRAIL GROUP HOME
NPI 1245365311
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlestown, RI

NPI Status: Active since February 22, 2007

Contact Information

4661 S COUNTY TRL
CHARLESTOWN, RI
ZIP 02813
Phone: (401) 364-7461

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About SOUTH COUNTY TRAIL GROUP HOME

This page provides the complete NPI Profile along with additional information for South County Trail Group Home, a provider established in Charlestown, Rhode Island operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1245365311 assigned on February 2007. The practitioner's primary taxonomy code is 320900000X with license number 40 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Ellen R Nelson (Director)

NPI
1245365311
Provider Name
SOUTH COUNTY TRAIL GROUP HOME
Entity Type
Organization
Location Address
4661 S COUNTY TRL CHARLESTOWN, RI 02813
Location Phone
(401) 364-7461
Mailing Address
6 HARRINGTON RD CRANSTON, RI 02920
Mailing Phone
(401) 462-2659
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2007
Last Update Date
08-22-2020
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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, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
40
License State
RI
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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.

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. ELLEN R NELSON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(401) 462-6001

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
LC03581MEDICAID (05)RI 

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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.
1245365311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285661032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 6 + 1 + 0 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1245365311 is valid because the calculated check digit 1 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 1245365311, enumerated in the NPI registry as an "organization" on February 22, 2007

The provider is located at 4661 S County Trl Charlestown, Ri 02813 and the phone number is (401) 364-7461

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

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 February 22, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.