JOHNSTON COUNTY GROUP HOMES, INC.
NPI 1427254598
Intermediate Care Facility, Intellectual Disabilities in Four Oaks, NC

NPI Status: Active since June 25, 2007

Contact Information

217 GEORGE ST
FOUR OAKS, NC
ZIP 27577
Phone: (919) 963-2563
Fax: (919) 963-2563

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 34D2006245
  • CLIA Cert. Type: Other - THERAP WOUND CTR
  • CLIA Exp. Date: 04-14-2026

About JOHNSTON COUNTY GROUP HOMES, INC.

This page provides the complete NPI Profile along with additional information for Johnston County Group Homes, Inc., a provider established in Four Oaks, North Carolina operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1427254598 assigned on June 2007. The practitioner's primary taxonomy code is 315P00000X with license number FCL-051-006 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Janet Gail Harper (Administrator)

NPI
1427254598
Provider Name
JOHNSTON COUNTY GROUP HOMES, INC.
Entity Type
Organization
Location Address
217 GEORGE ST FOUR OAKS, NC 27577
Location Phone
(919) 963-2563
Location Fax
(919) 963-2563
Mailing Address
PO BOX 1768 SMITHFIELD, NC 27577
Mailing Phone
(919) 965-0340
Mailing Fax
(919) 963-2563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2007
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
FCL-051-006
License State
NC
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual 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

JANET GAIL HARPER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(919) 965-0340

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
7802127MEDICAID (05)NC 

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
34D2006245
Facility Type
Other - THERAP WOUND CTR
Certificate Effective Date
April 15, 2024
Certificate Expiration Date
April 14, 2026
Laboratory Director
MANMOHAN SINGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Johnston County Group Homes, 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.
1427254598
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447458518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 5 + 8 + 5 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1427254598 is valid because the calculated check digit 8 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 1427254598, enumerated in the NPI registry as an "organization" on June 25, 2007

The provider is located at 217 George St Four Oaks, Nc 27577 and the phone number is (919) 963-2563

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

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.

The provider's CLIA number is 34D2006245 for a "other - therap wound ctr" 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 June 25, 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].
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