COUNTRY LIVING: ASPEN HOUSE
NPI 1770293763
Community Based Residential Treatment Facility, Mental Illness in Washington, NC

NPI Status: Active since November 30, 2022

Contact Information

3680 CHERRY ROAD
WASHINGTON, NC
ZIP 27889
Phone: (252) 975-3741
Fax: (252) 975-3044

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About COUNTRY LIVING: ASPEN HOUSE

This page provides the complete NPI Profile along with additional information for Country Living: Aspen House, a provider established in Washington, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1770293763 assigned on November 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Country Living: Aspen House. The authorized official of this NPI record is Miss Kellie Michelle Hardison Msw, Lcsw, Qp, Admir (Administrator)

NPI
1770293763
Provider Legal Name
COUNTRY LIVING GUEST HOME, INC.
Other Organization Name
COUNTRY LIVING: ASPEN HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3680 CHERRY ROAD WASHINGTON, NC 27889
Location Phone
(252) 975-3741
Location Fax
(252) 975-3044
Mailing Address
217 EAST 9TH STREET WASHINGTON, NC 27889
Mailing Phone
(252) 975-3741
Mailing Fax
(252) 975-3044
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-30-2022
Last Update Date
01-26-2023
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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.

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)
1251S00000XAgencies

Community/Behavioral Health

 
2311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 
3343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

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

MISS KELLIE MICHELLE HARDISON MSW, LCSW, QP, ADMIR

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(252) 975-3741

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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.
1770293763
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140496712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 6 + 7 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1770293763 is valid because the calculated check digit 3 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 1770293763, enumerated in the NPI registry as an "organization" on November 30, 2022

The provider is located at 3680 Cherry Road Washington, Nc 27889 and the phone number is (252) 975-3741

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

This NPI record was last updated on November 30, 2022. 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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