GRANVILLE-VANCE HOME HEALTH AGENCY
NPI 1275689242
Home Health in Henderson, NC
NPI Status: Active since January 25, 2007
Contact Information
125 CHARLES ROLLINS ROAD
HENDERSON, NC
ZIP 27536
Phone: (252) 492-5831
- Organization
- Home Health
- CLIA Number: 34D2202171
- CLIA Cert. Type: Other - JAIL MEDICAL UNIT
- CLIA Exp. Date: 11-24-2024
About GRANVILLE-VANCE HOME HEALTH AGENCY
This page provides the complete NPI Profile along with additional information for Granville-vance Home Health Agency, a provider established in Henderson, North Carolina operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1275689242 assigned on January 2007. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Granville-vance Home Health Agency. The authorized official of this NPI record is Dr. Wilton Rodwell Drake Jr. Md (Health Director)
- NPI
- 1275689242
- Provider Legal Name
- GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT
- Other Organization Name
- GRANVILLE-VANCE HOME HEALTH AGENCY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 125 CHARLES ROLLINS ROAD HENDERSON, NC 27536
- Location Phone
- (252) 492-5831
- Mailing Address
- 101 HUNT ST PO BOX 367 OXFORD, NC 27565
- Mailing Phone
- (919) 693-2141
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2007
- Last Update Date
- 12-15-2011
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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) |
|---|---|---|---|---|
| 1 | 251F00000X | Agencies | Home Infusion |
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 |
|---|---|---|---|
| 34D1034140 | OTHER (01) | CLIA # | |
| ========= | OTHER (01) | OTHER INSURANCES | |
| 34-7062 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | HH MEDICARE |
| HC0501 | OTHER (01) | NC | LICENSE # |
| 3407062 | MEDICAID (05) | NC |
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
- 34D2202171
- Facility Type
- Other - JAIL MEDICAL UNIT
- Certificate Effective Date
- November 25, 2022
- Certificate Expiration Date
- November 24, 2024
- Laboratory Director
- EDWARD CASH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Granville-vance Home Health Agency 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. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 8 | 9 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 8 | 18 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 2 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1275689242 is valid because the calculated check digit 2 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 1275689242, enumerated in the NPI registry as an "organization" on January 25, 2007
The provider is located at 125 Charles Rollins Road Henderson, Nc 27536 and the phone number is (252) 492-5831
This medical organization specializes in Home Health with taxonomy code 251E00000X
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.
The provider's CLIA number is 34D2202171 for a "other - jail medical unit" 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, 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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