P&W GROUP
NPI 1477762904
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Henderson, NC

NPI Status: Active since May 22, 2007

Contact Information

2636 WARRENTON RD
HENDERSON, NC
ZIP 27537
Phone: (252) 438-2510
Fax: (252) 438-3205

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 34D2062038
  • CLIA Cert. Type: Other - SUPRVSD LIVING RES. FAC
  • CLIA Exp. Date: 07-09-2025

About P&W GROUP

This page provides the complete NPI Profile along with additional information for P&w Group, a provider established in Henderson, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1477762904 assigned on May 2007. The practitioner's primary taxonomy code is 320600000X with license number MHL-091-075 (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 James Edward Watkins Jr. (Facility Director)

NPI
1477762904
Provider Name
P&W GROUP
Entity Type
Organization
Location Address
2636 WARRENTON RD HENDERSON, NC 27537
Location Phone
(252) 438-2510
Location Fax
(252) 438-3205
Mailing Address
2636 WARRENTON RD HENDERSON, NC 27537
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
MHL-091-075
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

JAMES EDWARD WATKINS JR.

Authorized Official Title
FACILITY DIRECTOR
Authorized Official Phone
(252) 438-2510

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
34D2062038
Facility Type
Other - SUPRVSD LIVING RES. FAC
Certificate Effective Date
July 10, 2023
Certificate Expiration Date
July 09, 2025
Laboratory Director
JAMES WATKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to P&w Group 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.
1477762904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147146490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 4 + 6 + 4 + 9 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1477762904 is valid because the calculated check digit 4 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 1477762904, enumerated in the NPI registry as an "organization" on May 22, 2007

The provider is located at 2636 Warrenton Rd Henderson, Nc 27537 and the phone number is (252) 438-2510

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

The provider's CLIA number is 34D2062038 for a "other - suprvsd living res. fac" 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 May 22, 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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