SHACKLEFREE MINISTRIES
NPI 1356695480
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX

NPI Status: Active since October 26, 2012

Contact Information

409 N FREDONIA ST
SUITE 116
LONGVIEW, TX
ZIP 75601
Phone: (903) 917-6632

Get Directions Reviews

  • Organization
  • Community Based Residential Treatment Fa...

About SHACKLEFREE MINISTRIES

This page provides the complete NPI Profile along with additional information for Shacklefree Ministries, a provider established in Longview, Texas operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1356695480 assigned on October 2012. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Virginia Lea Taylor Bclbt (Christian Counselor)

NPI
1356695480
Provider Name
SHACKLEFREE MINISTRIES
Entity Type
Organization
Location Address
409 N FREDONIA ST SUITE 116 LONGVIEW, TX 75601
Location Phone
(903) 917-6632
Mailing Address
409 N FREDONIA ST SUITE 116 LONGVIEW, TX 75601
Mailing Phone
(903) 917-6632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2012
Last Update Date
10-26-2012
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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MRS. VIRGINIA LEA TAYLOR BCLBT

Authorized Official Title
CHRISTIAN COUNSELOR
Authorized Official Phone
(903) 917-6632

Reviews for SHACKLEFREE MINISTRIES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1356695480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310612910416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 2 + 9 + 1 + 0 + 4 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1356695480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508036450STAR LIGHT HOME HEALTH
Organization
Home Health409 N FREDONIA ST SUITE 114
LONGVIEW, TX 75601
(903) 985-6084
1851530695NEW LIFE COUNSELING & ASSESSMENT CENTER
Organization
Counselor (Professional)409 N FREDONIA ST SUITE 122
LONGVIEW, TX 75601
(903) 984-7000
1285059147VONCELL HOMECARE HOLDINGS LLC
Organization
In Home Supportive Care409 N FREDONIA ST
LONGVIEW, TX 75601
(903) 643-9516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356695480, enumerated in the NPI registry as an "organization" on October 26, 2012

The provider is located at 409 N Fredonia St Suite 116 Longview, Tx 75601 and the phone number is (903) 917-6632

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

This NPI record was last updated on October 26, 2012. 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.