FRED JEFFERSON M AFTERCARE
NPI 1962954024
Case Management in Gardena, CA

NPI Status: Active since October 25, 2016

Contact Information

152 W WALNUT ST
SUITE 150
GARDENA, CA
ZIP 90248
Phone: (310) 763-1660

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  • Organization
  • Case Management

About FRED JEFFERSON M AFTERCARE

This page provides the complete NPI Profile along with additional information for Fred Jefferson M Aftercare, a provider established in Gardena, California operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1962954024 assigned on October 2016. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Fred Jefferson M Aftercare. The authorized official of this NPI record is Darryl Sewell (Cto/program Director)

NPI
1962954024
Provider Legal Name
FRED JEFFERSON MORENO
Other Organization Name
FRED JEFFERSON M AFTERCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
152 W WALNUT ST SUITE 150 GARDENA, CA 90248
Location Phone
(310) 763-1660
Mailing Address
12981 PERRIS BLVD SUITE 107 MORENO VALLEY, CA 92553
Mailing Phone
(310) 763-1660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2016
Last Update Date
10-25-2016
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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

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

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

DARRYL SEWELL

Authorized Official Title
CTO/PROGRAM DIRECTOR
Authorized Official Phone
(310) 929-0738

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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.
1962954024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122185804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 8 + 5 + 8 + 0 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1962954024 is valid because the calculated check digit 4 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
1699218578FRED JEFFERSON MEMORIAL
Organization
Foster Care Agency152 W WALNUT ST SUITE 150
GARDENA, CA 90248
(310) 929-0738
1750824637FRED JEFFERSON MEMORIAL HOME FOR BOYS
Organization
Foster Care Agency152 W WALNUT ST SUITE 150
GARDENA, CA 90248
(310) 763-1660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962954024, enumerated in the NPI registry as an "organization" on October 25, 2016

The provider is located at 152 W Walnut St Suite 150 Gardena, Ca 90248 and the phone number is (310) 763-1660

This medical organization specializes in Case Management with taxonomy code 251B00000X

This NPI record was last updated on October 25, 2016. 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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