A1 ACTIVE CARE
NPI 1336695634
In Home Supportive Care in Roswell, GA

NPI Status: Active since August 28, 2016

Contact Information

300 COLONIAL CENTER PARKWAY
SUITE 100
ROSWELL, GA
ZIP 30076
Phone: (678) 230-7095
Fax: (678) 601-1365

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  • Organization
  • In Home Supportive Care

About A1 ACTIVE CARE

This page provides the complete NPI Profile along with additional information for A1 Active Care, a provider established in Roswell, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1336695634 assigned on August 2016. The practitioner's primary taxonomy code is 253Z00000X with license number 060-R--1609 (GA). 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 Mr. Andrew M Lacy Sr. (Member)

NPI
1336695634
Provider Name
A1 ACTIVE CARE
Entity Type
Organization
Location Address
300 COLONIAL CENTER PARKWAY SUITE 100 ROSWELL, GA 30076
Location Phone
(678) 230-7095
Location Fax
(678) 601-1365
Mailing Address
300 COLONIAL CENTER PARKWAY SUITE 100 ROSWELL, GA 30076
Mailing Phone
(678) 230-7095
Mailing Fax
(678) 601-1365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2016
Last Update Date
05-03-2017
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
060-R--1609
License State
GA
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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

MR. ANDREW M LACY SR.

Authorized Official Title
MEMBER
Authorized Official Phone
(678) 230-7095

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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.
1336695634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661291066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 9 + 1 + 0 + 6 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1336695634 is valid because the calculated check digit 4 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
1760803316 JESSICA ZIELSKE M.A.,M.A., BCBA
Individual
Behavior Analyst300 COLONIAL CENTER PARKWAY STE 100N
ROSWELL, GA 30076
(954) 603-7885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336695634, enumerated in the NPI registry as an "organization" on August 28, 2016

The provider is located at 300 Colonial Center Parkway Suite 100 Roswell, Ga 30076 and the phone number is (678) 230-7095

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

This NPI record was last updated on August 28, 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].
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.