WELLBORN AFL
NPI 1487093233
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wilkesboro, NC

NPI Status: Active since June 14, 2013

Contact Information

1260 COLLEGE AVE
STE 8
WILKESBORO, NC
ZIP 28697
Phone: (919) 334-0249

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About WELLBORN AFL

This page provides the complete NPI Profile along with additional information for Wellborn Afl, a provider established in Wilkesboro, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1487093233 assigned on June 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Wellborn Afl. The authorized official of this NPI record is Brelyn Waddell (Contracts Manager)

NPI
1487093233
Provider Legal Name
OMNI VISIONS, INC.
Other Organization Name
WELLBORN AFL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1260 COLLEGE AVE STE 8 WILKESBORO, NC 28697
Location Phone
(919) 334-0249
Mailing Address
301 S PERIMETER PARK DR STE 10 NASHVILLE, TN 37211
Mailing Phone
(615) 726-3603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2013
Last Update Date
06-14-2013
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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 Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
NC
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental 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

BRELYN WADDELL

Authorized Official Title
CONTRACTS MANAGER
Authorized Official Phone
(919) 334-0249

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
3408630MEDICAID (05)NC 

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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.
1487093233
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416709626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 9 + 6 + 2 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1487093233 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194852681ALPHA OMEGA HEALTH, INC
Organization
Community/Behavioral Health1260 COLLEGE AVE SUITE 1
WILKESBORO, NC 28697
(336) 667-5111
1699966309MR. KEVIN JAMES BYRD QP
Individual
Case Manager/Care Coordinator1260 COLLEGE AVE SUITE 1
WILKESBORO, NC 28697
(336) 667-5111
1477792711 NANCY H SIZEMORE LPA
Individual
Counselor (Mental Health)1260 COLLEGE AVE SUITE 1
WILKESBORO, NC 28697
(336) 818-0733
1962471136MS. NANCY F PARDUE LCSW
Individual
Social Worker (Clinical)1260 COLLEGE AVE SUITE 1
WILKESBORO, NC 28697
(336) 469-7037
1861818056 SHANNON DIXON COX LPC
Individual
Counselor (Professional)1260 COLLEGE AVE
WILKESBORO, NC 28697
(336) 818-0733
1841651452SHELTERED AID TO FAMILIES IN
Organization
Nurse Practitioner (Pediatrics)1260 COLLEGE AVE SUITE 3
WILKESBORO, NC 28697
(336) 838-9169
1205293776 CHRISTINE GAMBILL LCSW
Individual
Social Worker (Clinical)1260 COLLEGE AVE SUITE 1
WILKESBORO, NC 28697
(336) 818-0733
1255756854 JAMI LYNN CANTRELL LPC
Individual
Counselor (Professional)1260 COLLEGE AVE
WILKESBORO, NC 28697
(336) 818-0733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487093233, enumerated in the NPI registry as an "organization" on June 14, 2013

The provider is located at 1260 College Ave Ste 8 Wilkesboro, Nc 28697 and the phone number is (919) 334-0249

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

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.

This NPI record was last updated on June 14, 2013. 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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