DEVEREUX FOUNDATION
NPI 1871067942
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Berwyn, PA
NPI Status: Active since January 11, 2019
Contact Information
149 LEOPARD RD
BERWYN, PA
ZIP 19312
Phone: (570) 839-6150
Fax: (570) 676-4586
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 39D2247085
- CLIA Cert. Type: Other - IDD RESIDENTIAL PCH
- CLIA Exp. Date: 01-03-2026
About DEVEREUX FOUNDATION
This page provides the complete NPI Profile along with additional information for Devereux Foundation, a provider established in Berwyn, Pennsylvania operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1871067942 assigned on January 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Diane Howell (Director Of Finance)
- NPI
- 1871067942
- Provider Name
- DEVEREUX FOUNDATION
- Entity Type
- Organization
- Location Address
- 149 LEOPARD RD BERWYN, PA 19312
- Location Phone
- (570) 839-6150
- Location Fax
- (570) 676-4586
- Mailing Address
- 1547 MILL CREEK RD NEWFOUNDLAND, PA 18445
- Mailing Phone
- (570) 839-6151
- Mailing Fax
- (570) 676-4586
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-11-2019
- Last Update Date
- 01-11-2019
- 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 Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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
- 39D2247085
- Facility Type
- Other - IDD RESIDENTIAL PCH
- Certificate Effective Date
- January 04, 2024
- Certificate Expiration Date
- January 03, 2026
- Laboratory Director
- DR. YOLANDA P. GRAHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Devereux Foundation 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 | 8 | 7 | 1 | 0 | 6 | 7 | 9 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 0 | 6 | 14 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 0 + 6 + 1 + 4 + 9 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1871067942 is valid because the calculated check digit 2 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 1871067942, enumerated in the NPI registry as an "organization" on January 11, 2019
The provider is located at 149 Leopard Rd Berwyn, Pa 19312 and the phone number is (570) 839-6150
This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X
The provider's CLIA number is 39D2247085 for a "other - idd residential pch" 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 11, 2019. 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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