ANGEL WING RESIDENTIAL CARE HOME
NPI 1497293559
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Demopolis, AL

NPI Status: Active since February 08, 2017

Contact Information

803 FLOYD AVE
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 349-6916

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About ANGEL WING RESIDENTIAL CARE HOME

This page provides the complete NPI Profile along with additional information for Angel Wing Residential Care Home, a provider established in Demopolis, Alabama operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1497293559 assigned on February 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's former legal business name is Residential Care Home. The authorized official of this NPI record is Jacqueline Thomas Walls (Owner)

NPI
1497293559
Provider Legal Name
ANGEL WING RESIDENTIAL CARE HOME
Other Organization Name
RESIDENTIAL CARE HOME
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
803 FLOYD AVE DEMOPOLIS, AL 36732
Location Phone
(334) 349-6916
Mailing Address
803 FLOYD AVE DEMOPOLIS, AL 36732
Mailing Phone
(334) 349-6916
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2017
Last Update Date
02-08-2017
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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
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

JACQUELINE THOMAS WALLS

Authorized Official Title
OWNER
Authorized Official Phone
(334) 349-6916

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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.
1497293559
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187496510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 9 + 6 + 5 + 1 + 0 + 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 1497293559 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033656939 JACQUELINE THOMAS WALLS
Individual
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities803 FLOYD AVE
DEMOPOLIS, AL 36732
(334) 349-6916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497293559, enumerated in the NPI registry as an "organization" on February 08, 2017

The provider is located at 803 Floyd Ave Demopolis, Al 36732 and the phone number is (334) 349-6916

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

This NPI record was last updated on February 08, 2017. 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.