KIDSPEACE NATIONAL CENTERS OF GEORGIA INC
NPI 1417029729
Psychiatric Residential Treatment Facility in Bowden, GA
NPI Status: Active since November 14, 2006
Contact Information
101 KIDSPEACE DRIVE
BOWDEN, GA
ZIP 30108
Phone: (770) 437-7200
Fax: (770) 258-9128
- Organization
- Psychiatric Residential Treatment Facili...
- CLIA Number: 11D1029097
- CLIA Cert. Type: Other - RESIDENTIAL CHILD CARING
- CLIA Exp. Date: 08-09-2026
About KIDSPEACE NATIONAL CENTERS OF GEORGIA INC
This page provides the complete NPI Profile along with additional information for Kidspeace National Centers Of Georgia Inc, a provider established in Bowden, Georgia operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1417029729 assigned on November 2006. The practitioner's primary taxonomy code is 323P00000X with license number CC1001402 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Michael W Slack (Vp For Marketing And Business Devel)
- NPI
- 1417029729
- Provider Name
- KIDSPEACE NATIONAL CENTERS OF GEORGIA INC
- Entity Type
- Organization
- Location Address
- 101 KIDSPEACE DRIVE BOWDEN, GA 30108
- Location Phone
- (770) 437-7200
- Location Fax
- (770) 258-9128
- Mailing Address
- 4085 INDEPENDENCE DRIVE SCHNECKSVILLE, PA 18078
- Mailing Phone
- (800) 854-3123
- Mailing Fax
- (770) 258-9128
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2006
- Last Update Date
- 09-26-2007
- 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
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- License No.
- CC1001402
- License State
- GA
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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
- 11D1029097
- Facility Type
- Other - RESIDENTIAL CHILD CARING
- Certificate Effective Date
- August 10, 2024
- Certificate Expiration Date
- August 09, 2026
- Laboratory Director
- DR. BRYON MCQUIRT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kidspeace National Centers Of Georgia Inc 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 | 4 | 1 | 7 | 0 | 2 | 9 | 7 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 2 | 18 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 2 + 1 + 8 + 7 + 4 + 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 = 9 | 9 | ||||||||
The NPI number 1417029729 is valid because the calculated check digit 9 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 1417029729, enumerated in the NPI registry as an "organization" on November 14, 2006
The provider is located at 101 Kidspeace Drive Bowden, Ga 30108 and the phone number is (770) 437-7200
This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X
The provider's CLIA number is 11D1029097 for a "other - residential child caring" 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 November 14, 2006. 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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