THREE FORKS HOME
NPI 1003038779
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Zionville, NC
NPI Status: Active since May 03, 2007
Contact Information
392 CAMP JOY RD
ZIONVILLE, NC
ZIP 28698
Phone: (828) 297-8001
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 34D2229634
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 07-13-2027
About THREE FORKS HOME
This page provides the complete NPI Profile along with additional information for Three Forks Home, a provider established in Zionville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1003038779 assigned on May 2007. The practitioner's primary taxonomy code is 320600000X with license number MHL095043 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Three Forks Home. The authorized official of this NPI record is Ms. F. Jane Mcmillan (Director Developmental Disabilities)
- NPI
- 1003038779
- Provider Legal Name
- BAPTIST CHILDRENS HOMES OF NC INC
- Other Organization Name
- THREE FORKS HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 392 CAMP JOY RD ZIONVILLE, NC 28698
- Location Phone
- (828) 297-8001
- Mailing Address
- PO BOX 338 THOMASVILLE, NC 27361
- Mailing Phone
- (336) 474-1272
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-03-2007
- Last Update Date
- 07-10-2008
- Code Navigator
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL095043
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| MHL095043 | OTHER (01) | NC | LICENSE NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2229634
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- July 14, 2025
- Certificate Expiration Date
- July 13, 2027
- Laboratory Director
- LAURA B. COMBS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Forks Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003038779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003038779, enumerated as an "organization" on May 03, 2007.
The provider is located at 392 CAMP JOY RD ZIONVILLE, NC 28698 and the phone number is (828) 297-8001.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
