DEKALB ENTERPRISES
NPI 1548304637
Community/Behavioral Health in Stone Mountain, GA

NPI Status: Active since February 20, 2007

Contact Information

4781 LEWIS RD
STONE MOUNTAIN, GA
ZIP 30083
Phone: (770) 270-2710
Fax: (770) 270-2714

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  • Organization
  • Community/Behavioral Health

About DEKALB ENTERPRISES

This page provides the complete NPI Profile along with additional information for Dekalb Enterprises, a provider established in Stone Mountain, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1548304637 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Dekalb Enterprises. The authorized official of this NPI record is Fabio Bruno Van Der Merwe (Coo)

NPI
1548304637
Provider Legal Name
DEKALB COMMUNITY SERVICE BOARD
Other Organization Name
DEKALB ENTERPRISES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4781 LEWIS RD STONE MOUNTAIN, GA 30083
Location Phone
(770) 270-2710
Location Fax
(770) 270-2714
Mailing Address
445 WINN WAY FL 4 DECATUR, GA 30030
Mailing Phone
(404) 294-3836
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-20-2007
Last Update Date
04-28-2020
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

FABIO BRUNO VAN DER MERWE

Authorized Official Title
COO
Authorized Official Phone
(404) 294-3836

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
000603446JMEDICAID (05)GA 
000599519EMEDICAID (05)GA 

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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.
1548304637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258860866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 6 + 0 + 8 + 6 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1548304637 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 1548304637, enumerated in the NPI registry as an "organization" on February 20, 2007

The provider is located at 4781 Lewis Rd Stone Mountain, Ga 30083 and the phone number is (770) 270-2710

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

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 February 20, 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].
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.