KONNOAK DRIVE GROUP HOME
NPI 1639313943
Intermediate Care Facility, Intellectual Disabilities in Winston Salem, NC
NPI Status: Active since April 30, 2009
Contact Information
2901 KONNOAK DR
WINSTON SALEM, NC
ZIP 27127
Phone: (800) 866-0860
- Organization
- Intermediate Care Facility, Intellectual...
About KONNOAK DRIVE GROUP HOME
This page provides the complete NPI Profile along with additional information for Konnoak Drive Group Home, a provider established in Winston Salem, North Carolina operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1639313943 assigned on April 2009. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Konnoak Drive Group Home. The authorized official of this NPI record is Angie Mattingly (Mgr Provider Enrollment)
- NPI
- 1639313943
- Provider Legal Name
- EDUCARE COMMUNITY LIVING CORP NORTH CAROLINA
- Other Organization Name
- KONNOAK DRIVE GROUP HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2901 KONNOAK DR WINSTON SALEM, NC 27127
- Location Phone
- (800) 866-0860
- Mailing Address
- 805 N WHITTINGTON PKWY LOUISVILLE, KY 40222
- Mailing Phone
- (800) 866-0860
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-30-2009
- Last Update Date
- 02-21-2022
- 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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | (NC) |
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 |
|---|---|---|---|
| 342606W | 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 | 6 | 3 | 9 | 3 | 1 | 3 | 9 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 1 | 6 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 1 + 6 + 9 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1639313943 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215057468 | EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA Organization | Intermediate Care Facility, Intellectual Disabilities | 2901 KONNOAK DR WINSTON SALEM, NC 27127 (336) 788-5543 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639313943, enumerated in the NPI registry as an "organization" on April 30, 2009
The provider is located at 2901 Konnoak Dr Winston Salem, Nc 27127 and the phone number is (800) 866-0860
This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X
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 April 30, 2009. 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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