THE WELL BALANCED SENIOR PROGRAM
NPI 1457515207
Community Health Worker in East Orange, NJ

NPI Status: Active since July 10, 2008

Contact Information

111 SOUTH MUNN AVE
SUITE 2A
EAST ORANGE, NJ
ZIP 07018
Phone: (908) 296-5258
Fax: (973) 732-0460

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  • Organization
  • Community Health Worker

About THE WELL BALANCED SENIOR PROGRAM

This page provides the complete NPI Profile along with additional information for The Well Balanced Senior Program, a provider established in East Orange, New Jersey operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1457515207 assigned on July 2008. The practitioner's primary taxonomy code is 172V00000X with license number 0400239766 (NJ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Shelly Denise Larkins (Executive Director)

NPI
1457515207
Provider Name
THE WELL BALANCED SENIOR PROGRAM
Entity Type
Organization
Location Address
111 SOUTH MUNN AVE SUITE 2A EAST ORANGE, NJ 07018
Location Phone
(908) 296-5258
Location Fax
(973) 732-0460
Mailing Address
111 SOUTH MUNN AVE SUITE 2A EAST ORANGE, NJ 07018
Mailing Phone
(908) 296-5258
Mailing Fax
(973) 732-0460
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2008
Last Update Date
11-23-2009
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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 Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
License No.
0400239766
License State
NJ
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

HP0135400 (NJ)
2261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

0400239766 (NJ)

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

SHELLY DENISE LARKINS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(908) 296-5258

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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.
1457515207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071011020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 1 + 1 + 0 + 2 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1457515207 is valid because the calculated check digit 7 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 1457515207, enumerated in the NPI registry as an "organization" on July 10, 2008

The provider is located at 111 South Munn Ave Suite 2a East Orange, Nj 07018 and the phone number is (908) 296-5258

This medical organization specializes in Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on July 10, 2008. 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.