SCI-COASTAL HOUSE I AND II
NPI 1750632030
Intermediate Care Facility, Intellectual Disabilities in Wilmington, NC

NPI Status: Active since September 26, 2012

Contact Information

1974 W LAKESHORE DRIVE
WILMINGTON, NC
ZIP 28401
Phone: (910) 762-7111

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About SCI-COASTAL HOUSE I AND II

This page provides the complete NPI Profile along with additional information for Sci-coastal House I And Ii, a provider established in Wilmington, North Carolina operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1750632030 assigned on September 2012. The practitioner's primary taxonomy code is 315P00000X with license number MHL-065-028 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Paul Hackmann (Ceo)

NPI
1750632030
Provider Name
SCI-COASTAL HOUSE I AND II
Entity Type
Organization
Location Address
1974 W LAKESHORE DRIVE WILMINGTON, NC 28401
Location Phone
(910) 762-7111
Mailing Address
PO BOX 1636 GOLDSBORO, NC 27533
Mailing Phone
(919) 734-7398
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-26-2012
Last Update Date
01-18-2019
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
MHL-065-028
License State
NC
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)
1313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

MHL-065-028 (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.

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

PAUL HACKMANN

Authorized Official Title
CEO
Authorized Official Phone
(919) 734-7398

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
3406250MEDICAID (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.
1750632030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100123406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 3 + 4 + 0 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750632030 is valid because the calculated check digit 0 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 1750632030, enumerated in the NPI registry as an "organization" on September 26, 2012

The provider is located at 1974 W Lakeshore Drive Wilmington, Nc 28401 and the phone number is (910) 762-7111

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 September 26, 2012. 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.