PHOENIX BRIDGE COMMUNITY SUPPORT
NPI 1508045998
Residential Treatment Facility, Emotionally Disturbed Children in Burlington, NC
NPI Status: Active since November 01, 2007
Contact Information
814 BRADLEY ST
BURLINGTON, NC
ZIP 27215
Phone: (336) 222-8522
Fax: (336) 222-8533
- Organization
- Residential Treatment Facility, Emotiona...
About PHOENIX BRIDGE COMMUNITY SUPPORT
This page provides the complete NPI Profile along with additional information for Phoenix Bridge Community Support, a provider established in Burlington, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1508045998 assigned on November 2007. The practitioner's primary taxonomy code is 322D00000X with license number MHL-001-121 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Miss Wendy Renee Jones (Program Director)
- NPI
- 1508045998
- Provider Name
- PHOENIX BRIDGE COMMUNITY SUPPORT
- Entity Type
- Organization
- Location Address
- 814 BRADLEY ST BURLINGTON, NC 27215
- Location Phone
- (336) 222-8522
- Location Fax
- (336) 222-8533
- Mailing Address
- 909 A SOUTH MAIN STREET BURLINGTON, NC 27215
- Mailing Phone
- (336) 222-8522
- Mailing Fax
- (336) 222-8533
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-01-2007
- Last Update Date
- 11-01-2007
- Code Navigator
Location Map
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, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-001-121
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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.
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 |
|---|---|---|---|
| 6603578 | MEDICAID (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. | |||||||||
| 1 | 5 | 0 | 8 | 0 | 4 | 5 | 9 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 0 | 4 | 10 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 0 + 4 + 1 + 0 + 9 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1508045998 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1700178498 | ALAMANCE HOMES Organization | Community Based Residential Treatment Facility, Mental Illness | 814 BRADLEY ST BURLINGTON, NC 27215 (336) 266-7073 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508045998, enumerated in the NPI registry as an "organization" on November 01, 2007
The provider is located at 814 Bradley St Burlington, Nc 27215 and the phone number is (336) 222-8522
This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X
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 November 01, 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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