MEDINA RESIDENTICAL CARE SERVICES
NPI 1841502655
Day Training, Developmentally Disabled Services in Fresno, CA

NPI Status: Active since July 09, 2010

Contact Information

1568 N MILLBROOK AVE
FRESNO, CA
ZIP 93703
Phone: (559) 392-7291
Fax: (559) 840-1714

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About MEDINA RESIDENTICAL CARE SERVICES

This page provides the complete NPI Profile along with additional information for Medina Residentical Care Services, a provider established in Fresno, California operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1841502655 assigned on July 2010. The practitioner's primary taxonomy code is 251C00000X with license number 107202360 (CA). 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 Mysti Medina (Owner)

NPI
1841502655
Provider Name
MEDINA RESIDENTICAL CARE SERVICES
Entity Type
Organization
Location Address
1568 N MILLBROOK AVE FRESNO, CA 93703
Location Phone
(559) 392-7291
Location Fax
(559) 840-1714
Mailing Address
1568 N MILLBROOK AVE FRESNO, CA 93703
Mailing Phone
(559) 392-7291
Mailing Fax
(559) 840-1714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2010
Last Update Date
07-09-2010
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
107202360
License State
CA
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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)
1251E00000XAgencies

Home Health

 
2253Z00000XAgencies

In Home Supportive Care

 
3261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

107202360 (CA)
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

107203232 (CA)
6320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 
7332U00000XSuppliers

Home Delivered Meals

 
8343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
9347C00000XTransportation Services

Private Vehicle

 

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

MYSTI MEDINA

Authorized Official Title
OWNER
Authorized Official Phone
(559) 392-7291

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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.
1841502655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28811004610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 0 + 0 + 4 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1841502655 is valid because the calculated check digit 5 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
1093016115TRINITY DEVELOPMENT CENTER
Organization
Non-emergency Medical Transport (VAN)1568 N MILLBROOK AVE
FRESNO, CA 93703
(559) 412-8996
1598066169TRINITY DEVELOPMENT CENTER
Organization
Clinic/Center (Adult Day Care)1568 N MILLBROOK AVE
FRESNO, CA 93703
(559) 412-8996

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841502655, enumerated in the NPI registry as an "organization" on July 09, 2010

The provider is located at 1568 N Millbrook Ave Fresno, Ca 93703 and the phone number is (559) 392-7291

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

This NPI record was last updated on July 09, 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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