SECOND CHANCE RES ADULT SERVICES
NPI 1427239979
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

NPI Status: Active since November 26, 2007

Contact Information

907 DILLARD ST
GREENSBORO, NC
ZIP 27403
Phone: (336) 230-1676
Fax: (336) 294-7657

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About SECOND CHANCE RES ADULT SERVICES

This page provides the complete NPI Profile along with additional information for Second Chance Res Adult Services, a provider established in Greensboro, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1427239979 assigned on November 2007. The practitioner's primary taxonomy code is 320600000X with license number MHL041816 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Ravonda C Meachem Ms Adult Education (Director Owner)

NPI
1427239979
Provider Name
SECOND CHANCE RES ADULT SERVICES
Entity Type
Organization
Location Address
907 DILLARD ST GREENSBORO, NC 27403
Location Phone
(336) 230-1676
Location Fax
(336) 294-7657
Mailing Address
907 DILLARD ST GREENSBORO, NC 27403
Mailing Phone
(336) 230-1676
Mailing Fax
(336) 294-7657
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2007
Last Update Date
07-14-2008
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
MHL041816
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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. RAVONDA C MEACHEM MS ADULT EDUCATION

Authorized Official Title
DIRECTOR OWNER
Authorized Official Phone
(336) 707-6517

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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.
1427239979
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24474318914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 3 + 1 + 8 + 9 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1427239979 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
1699971838MS. RAVONDA CARNEY MEACHEM M.S.
Individual
Residential Treatment Facility, Intellectual and/or Developmental Disabilities907 DILLARD ST
GREENSBORO, NC 27403
(336) 707-6517
1619742376MR. ROBERT HAROLD KOSIE-WILLIAMS
Individual
Custodial Care Facility (Adult Care Home)907 DILLARD ST
GREENSBORO, NC 27403
(336) 340-9957

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427239979, enumerated in the NPI registry as an "organization" on November 26, 2007

The provider is located at 907 Dillard St Greensboro, Nc 27403 and the phone number is (336) 230-1676

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on November 26, 2007. 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.