PREMIER SERVICE OF CAROLINA INC
NPI 1760929848
Community/Behavioral Health in Albemarle, NC
NPI Status: Active since January 26, 2017
Contact Information
109 PENNY ST
ALBEMARLE, NC
ZIP 28001
Phone: (704) 985-1189
Fax: (704) 985-0106
- Organization
- Community/Behavioral Health
- CLIA Number: 34D2162706
- CLIA Cert. Type: Other - PRTF
- CLIA Exp. Date: 02-27-2027
About PREMIER SERVICE OF CAROLINA INC
This page provides the complete NPI Profile along with additional information for Premier Service Of Carolina Inc, a provider established in Albemarle, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760929848 assigned on January 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Warner Leak (Ceo)
- NPI
- 1760929848
- Provider Name
- PREMIER SERVICE OF CAROLINA INC
- Entity Type
- Organization
- Location Address
- 109 PENNY ST ALBEMARLE, NC 28001
- Location Phone
- (704) 985-1189
- Location Fax
- (704) 985-0106
- Mailing Address
- 108 PENNY ST ALBEMARLE, NC 28001
- Mailing Phone
- (704) 985-1189
- Mailing Fax
- (704) 985-0106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2017
- Last Update Date
- 01-26-2017
- 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
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2162706
- Facility Type
- Other - PRTF
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- WARNER LEAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Service Of Carolina Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 6 | 0 | 9 | 2 | 9 | 8 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 2 | 18 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 2 + 1 + 8 + 8 + 8 + 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 = 8 | 8 | ||||||||
The NPI number 1760929848 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053637710 | PREMIER SERVICE OF CAROLINA, INC Organization | Psychiatric Residential Treatment Facility | 109 PENNY ST ALBEMARLE, NC 28001 (704) 985-1178 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760929848, enumerated in the NPI registry as an "organization" on January 26, 2017
The provider is located at 109 Penny St Albemarle, Nc 28001 and the phone number is (704) 985-1189
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider's CLIA number is 34D2162706 for a "other - prtf" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 26, 2017. 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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