MEDGAR EVERS RESPITE CARE
NPI 1275768319
Respite Care in Fayette, MS

NPI Status: Active since May 19, 2009

Contact Information

210 GILCHRIST STREET
POST OFFICE BOX 699
FAYETTE, MS
ZIP 39069
Phone: (601) 786-3955
Fax: (601) 786-3910

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  • Organization
  • Respite Care

About MEDGAR EVERS RESPITE CARE

This page provides the complete NPI Profile along with additional information for Medgar Evers Respite Care, a provider established in Fayette, Mississippi operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1275768319 assigned on May 2009. The practitioner's primary taxonomy code is 385H00000X with license number 09056303 (MS). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Medgar Evers Respite Care. The authorized official of this NPI record is Ms. Mary T. Irving (Executive Director/administrator)

NPI
1275768319
Provider Legal Name
SOUTHWEST DEVELOPMENT CORPORATION, INC.
Other Organization Name
MEDGAR EVERS RESPITE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
210 GILCHRIST STREET POST OFFICE BOX 699 FAYETTE, MS 39069
Location Phone
(601) 786-3955
Location Fax
(601) 786-3910
Mailing Address
210 GILCHRIST STREET POST OFFICE BOX 699 FAYETTE, MS 39069
Mailing Phone
(601) 786-3955
Mailing Fax
(601) 786-3910
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2009
Last Update Date
06-09-2009
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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

Respite Care

Taxonomy Code
385H00000X
Type
Respite Care Facility
License No.
09056303
License State
MS

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. MARY T. IRVING

Authorized Official Title
EXECUTIVE DIRECTOR/ADMINISTRATOR
Authorized Official Phone
(601) 786-3955

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
0770119MEDICAID (05)MS 
257106MEDICARE OSCAR/CERTIFICATION (06)MS 

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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.
1275768319
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451461632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 6 + 1 + 6 + 3 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1275768319 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841372976SOUTHWEST DEVELOPMENT CORPORATION, INC.
Organization
Home Health210 GILCHRIST STREET
FAYETTE, MS 39069
(601) 786-3955
1447484092SOUTHWEST DEVELOPMENT CORPORATION, INC.
Organization
Hospice Care, Community Based210 GILCHRIST STREET
FAYETTE, MS 39069
(601) 786-3955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275768319, enumerated in the NPI registry as an "organization" on May 19, 2009

The provider is located at 210 Gilchrist Street Post Office Box 699 Fayette, Ms 39069 and the phone number is (601) 786-3955

This medical organization specializes in Respite Care with taxonomy code 385H00000X

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 May 19, 2009. 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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