LAWRENCE SMITH AFL
NPI 1366881120
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Graham, NC

NPI Status: Active since June 14, 2013

Contact Information

904 E HANOVER RD
APT D
GRAHAM, NC
ZIP 27253
Phone: (919) 334-0249

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About LAWRENCE SMITH AFL

This page provides the complete NPI Profile along with additional information for Lawrence Smith Afl, a provider established in Graham, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1366881120 assigned on June 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Lawrence Smith Afl. The authorized official of this NPI record is Brelyn Waddell (Contracts Manager)

NPI
1366881120
Provider Legal Name
OMNI VISIONS, INC.
Other Organization Name
LAWRENCE SMITH AFL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
904 E HANOVER RD APT D GRAHAM, NC 27253
Location Phone
(919) 334-0249
Mailing Address
301 S PERIMETER PARK DR STE 10 NASHVILLE, TN 37211
Mailing Phone
(615) 726-3603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2013
Last Update Date
06-14-2013
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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 State
NC
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

BRELYN WADDELL

Authorized Official Title
CONTRACTS MANAGER
Authorized Official Phone
(919) 334-0249

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
3408630MEDICAID (05)NC 

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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.
1366881120
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126168214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 2 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1366881120 is valid because the calculated check digit 0 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 1366881120, enumerated in the NPI registry as an "organization" on June 14, 2013

The provider is located at 904 E Hanover Rd Apt D Graham, Nc 27253 and the phone number is (919) 334-0249

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 June 14, 2013. 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.