210 UNION AVENUE GROUP HOME
NPI 1821312521
Assisted Living Facility - Assisted Living, Mental Illness in Burlington, NC

NPI Status: Active since March 24, 2010

Contact Information

210 UNION AVE
BURLINGTON, NC
ZIP 27217
Phone: (336) 226-6798
Fax: (336) 228-9376

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About 210 UNION AVENUE GROUP HOME

This page provides the complete NPI Profile along with additional information for 210 Union Avenue Group Home, a provider established in Burlington, North Carolina operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1821312521 assigned on March 2010. The practitioner's primary taxonomy code is 3104A0625X with license number MHL 001-174 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mary Graves Woods (Owner)

NPI
1821312521
Provider Name
210 UNION AVENUE GROUP HOME
Entity Type
Organization
Location Address
210 UNION AVE BURLINGTON, NC 27217
Location Phone
(336) 226-6798
Location Fax
(336) 228-9376
Mailing Address
210 UNION AVE BURLINGTON, NC 27217
Mailing Phone
(336) 226-6798
Mailing Fax
(336) 228-9376
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2010
Last Update Date
03-24-2010
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
MHL 001-174
License State
NC
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

MARY GRAVES WOODS

Authorized Official Title
OWNER
Authorized Official Phone
(336) 226-6798

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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.
1821312521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284161454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 1 + 4 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1821312521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316173057UNION AVENUE GROUP HOME, LLC
Organization
Community Based Residential Treatment Facility, Mental Illness210 UNION AVE
BURLINGTON, NC 27217
(336) 404-2003
1891813028ANGELS FAMILY CARE HOME #4
Organization
Custodial Care Facility210 UNION AVE
BURLINGTON, NC 27217
(336) 570-5770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821312521, enumerated in the NPI registry as an "organization" on March 24, 2010

The provider is located at 210 Union Ave Burlington, Nc 27217 and the phone number is (336) 226-6798

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

This NPI record was last updated on March 24, 2010. 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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