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

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 NPI number of this provider is 1003012758 and was 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 14 years ago. The authorized official of this NPI record is Mr. Geovon Kenane Martin (Ceo Director)

NPI
1003012758
Provider NameG & D RESIDENTIAL SERVICES, LLC
Location Address620 GUILFORD COLLEGE RD STE G GREENSBORO, NC 27409
Location Phone(336) 254-6770
Mailing Address620 GUILFORD COLLEGE RD STE G GREENSBORO, NC 27409
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-21-2007
Last Update Date06-01-2009


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code320800000X
ClassificationCommunity Based Residential Treatment Facility, Mental Illness
TypeResidential Treatment Facilities
License No.MHL-041-764
License StateNC
Taxonomy DescriptionA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

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Mailing Address

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


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMR. GEOVON KENANE MARTIN
Authorized Official TitleCEO DIRECTOR
Authorized Official Phone(336) 254-6770

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8300792BMEDICAID (05)NC

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

What is G & D RESIDENTIAL SERVICES, LLC NPI number?

The NPI number assigned to this healthcare provider is 1003012758, registered as an "organization" on June 21, 2007

Where is G & D RESIDENTIAL SERVICES, LLC located?

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

What kind of medical provider is G & D RESIDENTIAL SERVICES, LLC?

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness

What insurance does G & D RESIDENTIAL SERVICES, LLC accept?

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.

How do I update my NPI information?

The NPI record of G & D RESIDENTIAL SERVICES, LLC 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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