ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.
NPI 1629123856
Residential Treatment Facility, Emotionally Disturbed Children in Charlotte, NC

NPI Status: Active since January 25, 2007

Contact Information

6630 FAIR LAWN RD
CHARLOTTE, NC
ZIP 28215
Phone: (704) 537-3297
Fax: (704) 434-0268

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About ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for St. Michael's Residential & Community Services, Inc., a provider established in Charlotte, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1629123856 assigned on January 2007. The practitioner's primary taxonomy code is 322D00000X with license number MHL-060-1006 (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 Mr. James R Singleton Qmhp (Executive Director)

NPI
1629123856
Provider Name
ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.
Entity Type
Organization
Location Address
6630 FAIR LAWN RD CHARLOTTE, NC 28215
Location Phone
(704) 537-3297
Location Fax
(704) 434-0268
Mailing Address
6630 FAIR LAWN RD CHARLOTTE, NC 28215
Mailing Phone
(704) 537-3297
Mailing Fax
(704) 434-0268
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
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, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
MHL-060-1006
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.

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

MR. JAMES R SINGLETON QMHP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(704) 466-0046

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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.
1629123856
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649226810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 6 + 8 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1629123856 is valid because the calculated check digit 6 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 1629123856, enumerated in the NPI registry as an "organization" on January 25, 2007

The provider is located at 6630 Fair Lawn Rd Charlotte, Nc 28215 and the phone number is (704) 537-3297

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on January 25, 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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