BLUEPRINT FOR SUCCESS LLC
NPI 1962001479
Clinic/Center - Multi-Specialty in Springfield, OH

NPI Status: Active since October 26, 2020

Contact Information

117 E LIBERTY ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 937-0142
Fax: (855) 300-5330

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About BLUEPRINT FOR SUCCESS LLC

This page provides the complete NPI Profile along with additional information for Blueprint For Success Llc, a provider established in Springfield, Ohio operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1962001479 assigned on October 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Blueprint For Success Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael Ward (Owner)

NPI
1962001479
Provider Name
BLUEPRINT FOR SUCCESS LLC
Entity Type
Organization
Location Address
117 E LIBERTY ST SPRINGFIELD, OH 45505
Location Phone
(937) 937-0142
Location Fax
(855) 300-5330
Mailing Address
117 E LIBERTY ST SPRINGFIELD, OH 45505
Mailing Phone
(937) 937-0142
Mailing Fax
(855) 300-5330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2020
Last Update Date
10-26-2020
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
2174200000XOther Service Providers

Meals

 
3177F00000XOther Service Providers

Lodging

 
4251B00000XAgencies

Case Management

 
5261QM0801XAmbulatory Health Care Facilities

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

 
6261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
7261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
8261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 
9261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 
10261QP2400XAmbulatory Health Care Facilities

Clinic/Center
Prison Health

 
11261QR1100XAmbulatory Health Care Facilities

Clinic/Center
Research

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. MICHAEL WARD

Authorized Official Title
OWNER
Authorized Official Phone
(937) 723-0142

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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.
1962001479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122002414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 0 + 2 + 4 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1962001479 is valid because the calculated check digit 9 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 1962001479, enumerated in the NPI registry as an "organization" on October 26, 2020

The provider is located at 117 E Liberty St Springfield, Oh 45505 and the phone number is (937) 937-0142

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on October 26, 2020. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.