DESTINY HOMES OF PHYD, INC.
NPI 1003005240
Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, NC

NPI Status: Active since October 23, 2007

Contact Information

1611 POOLE RD
RALEIGH, NC
ZIP 27610
Phone: (919) 713-0035
Fax: (919) 713-0034

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About DESTINY HOMES OF PHYD, INC.

Destiny Homes Of Phyd, Inc. is a provider established in Raleigh, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1003005240 assigned on October 2007. The practitioner's primary taxonomy code is 322D00000X with license number MHL-092-537 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Destiny Homes Of Phyd, Inc.. The authorized official of this NPI record is Mrs. Andrea Pretty (President)

NPI
1003005240
Provider Legal Name
PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)
Other Organization Name
DESTINY HOMES OF PHYD, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1611 POOLE RD RALEIGH, NC 27610
Location Phone
(919) 713-0035
Location Fax
(919) 713-0034
Mailing Address
PO BOX 20181 RALEIGH, NC 27619
Mailing Phone
(919) 633-7800
Mailing Fax
(919) 713-0034
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-23-2007
Last Update Date
03-26-2009
Code Navigator

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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
MHL-092-537
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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)
1322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

MHL-092-491 (NC)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. ANDREA PRETTY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 633-7800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6603862MEDICAID (05)NC 
6604280MEDICAID (05)NC 

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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.
1003005240
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 2 + 8 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003005240 is valid because the calculated check digit 0 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 1003005240, enumerated in the NPI registry as an "organization" on October 23, 2007

The provider is located at 1611 Poole Rd Raleigh, Nc 27610 and the phone number is (919) 713-0035

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2007. 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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