GOLDENBLUSH CIRCLE GROUP HOME
NPI 1639336878
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC

NPI Status: Active since May 16, 2008

Contact Information

416 MCCULLOUGH DR
SUITE 125
CHARLOTTE, NC
ZIP 28262
Phone: (704) 547-1900

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About GOLDENBLUSH CIRCLE GROUP HOME

This page provides the complete NPI Profile along with additional information for Goldenblush Circle Group Home, a provider established in Charlotte, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1639336878 assigned on May 2008. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Stephanie Cahoon (Billing Specialist)

NPI
1639336878
Provider Name
GOLDENBLUSH CIRCLE GROUP HOME
Entity Type
Organization
Location Address
416 MCCULLOUGH DR SUITE 125 CHARLOTTE, NC 28262
Location Phone
(704) 547-1900
Mailing Address
6512 GOLDENBLUSH CIR CHARLOTTE, NC 28269
Mailing Phone
(704) 948-9701
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-16-2008
Last Update Date
05-16-2008
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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, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

STEPHANIE CAHOON

Authorized Official Title
BILLING SPECIALIST
Authorized Official Phone
(704) 906-8893

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
6603994MEDICAID (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.
1639336878
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696312814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 3 + 1 + 2 + 8 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639336878 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629130877MDFAMILY MEDICAL GROUP, PA
Organization
General Practice416 MCCULLOUGH DR SUITE 140
CHARLOTTE, NC 28262
(704) 688-0324
1942353172CARING ARMS YOUTH AND FAMILY SERVICES, INC.
Organization
Community/Behavioral Health416 MCCULLOUGH DR SUITE 130
CHARLOTTE, NC 28262
(704) 510-1600
1619002631VISIONS OF CARE
Organization
Community/Behavioral Health416 MCCULLOUGH DR SUITE105
CHARLOTTE, NC 28262
(704) 547-1900
1770735466NORTH CHARLOTTE PEDIATRICS PLLC
Organization
Pediatrics416 MCCULLOUGH DR SUITE 416
CHARLOTTE, NC 28262
(704) 941-0111
1235269606MISS CHRISTINE ELIZABETH LABINS M.S.
Individual
Marriage & Family Therapist416 MCCULLOUGH DR SUITE #235
CHARLOTTE, NC 28262
(704) 717-3251
1558600171STEP BY STEP CARE INC
Organization
In Home Supportive Care416 MCCULLOUGH DR SUITE 155
CHARLOTTE, NC 28262
(980) 729-9109
1346589744STEP BY STEP CARE, INC
Organization
In Home Supportive Care416 MCCULLOUGH DR STE 155
CHARLOTTE, NC 28262
(864) 993-3494
1992988091DR. DENISE USTIK HOFFECKER DC,L.A.C
Individual
Acupuncturist416 MCCULLOUGH DR SUITE 155
CHARLOTTE, NC 28262
(704) 548-8818
1174997084 ALICIA KNOTTS
Individual
Registered Nurse (Infusion Therapy)416 MCCULLOUGH DR STE 110
CHARLOTTE, NC 28262
(704) 574-2582
1922660869 GILBERTO ANTONIO LORENZANA
Individual
Nurse Practitioner (Family)416 MCCULLOUGH DR STE 110
CHARLOTTE, NC 28262
(980) 613-8735
1275127730 IVETTE HARLIN MSW, LCSWA
Individual
Social Worker (Clinical)416 MCCULLOUGH DR
CHARLOTTE, NC 28262
(980) 214-4885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639336878, enumerated in the NPI registry as an "organization" on May 16, 2008

The provider is located at 416 Mccullough Dr Suite 125 Charlotte, Nc 28262 and the phone number is (704) 547-1900

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

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 May 16, 2008. 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.