G & D RESIDENTIAL SERVICES, LLC
NPI 1003012758
Community Based Residential Treatment Facility, Mental Illness in Greensboro, NC

NPI Status: Active since June 21, 2007

Contact Information

620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC
ZIP 27409
Phone: (336) 254-6770
Fax: (336) 292-1589

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About G & D RESIDENTIAL SERVICES, LLC

G & D Residential Services, Llc is a provider established in Greensboro, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1003012758 assigned on June 2007. The practitioner's primary taxonomy code is 320800000X with license number MHL-041-764 (NC). 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 Mr. Geovon Kenane Martin (Ceo Director)

NPI
1003012758
Provider Name
G & D RESIDENTIAL SERVICES, LLC
Entity Type
Organization
Location Address
620 GUILFORD COLLEGE RD STE G GREENSBORO, NC 27409
Location Phone
(336) 254-6770
Location Fax
(336) 292-1589
Mailing Address
620 GUILFORD COLLEGE RD STE G GREENSBORO, NC 27409
Mailing Phone
(336) 254-6770
Mailing Fax
(336) 292-1589
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2007
Last Update Date
06-01-2009
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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
MHL-041-764
License State
NC
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*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

MR. GEOVON KENANE MARTIN

Authorized Official Title
CEO DIRECTOR
Authorized Official Phone
(336) 254-6770

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
8300792BMEDICAID (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.
1003012758
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 7 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003012758 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568559540NEW PROGRESSIONS, LLC
Organization
Community Based Residential Treatment Facility, Mental Illness620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409
(336) 254-6770
1962631622G & D RESIDENTIAL SERVICES, LLC
Organization
Case Management620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409
(336) 254-6770
1821430752MS. BERTHA ANN SIMS LCSWA
Individual
Social Worker (Clinical)620 GUILFORD COLLEGE RD STE G
GREENSBORO, NC 27409
(336) 292-1588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012758, enumerated in the NPI registry as an "organization" on June 21, 2007

The provider is located at 620 Guilford College Rd Ste G Greensboro, Nc 27409 and the phone number is (336) 254-6770

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 June 21, 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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