DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
NPI 1003670605
Community/Behavioral Health in Waldorf, MD
NPI Status: Active since February 13, 2024
Contact Information
85 HIGH ST
WALDORF, MD
ZIP 20602
Phone: (240) 882-0536
- Organization
- Community/Behavioral Health
About DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
This page provides the complete NPI Profile along with additional information for Devine Grace Behavioral Health Center, Llc, a provider established in Waldorf, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003670605 assigned on February 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Devine Grace Behavioral Health Center, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Adewale Soniregun (Ceo)
- NPI
- 1003670605
- Provider Name
- DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
- Entity Type
- Organization
- Location Address
- 85 HIGH ST WALDORF, MD 20602
- Location Phone
- (240) 882-0536
- Mailing Address
- 7502 DOGWOOD LN HANOVER, MD 21076
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-13-2024
- Last Update Date
- 08-23-2024
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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. | |||||||||
| 1 | 0 | 0 | 3 | 6 | 7 | 0 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 12 | 7 | 0 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 2 + 7 + 0 + 6 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1003670605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
DR. MARK S LAVETTI DDS
Dentist
(General Practice)
85 HIGH ST
SUITE 6
WALDORF, MD
ZIP 20602
WALDEN SIERRA CORP
Community/Behavioral Health
85 HIGH ST
SUITE 4
WALDORF, MD
ZIP 20602
KECIA Q WRIGHT LGPC
Counselor
(Addiction (Substance Use Disorder))
85 HIGH ST
WALDORF, MD
ZIP 20602
MICHAEL J KUHN DDS PC
Dentist
(Orthodontics and Dentofacial Orthopedics)
85 HIGH ST
SUITE 4
WALDORF, MD
ZIP 20602
JOCELYN GOODWIN LMSW
Social Worker
85 HIGH ST
WALDORF, MD
ZIP 20602
PYRAMID WALDEN, LLC
Counselor
(Addiction (Substance Use Disorder))
85 HIGH ST
SUITE 4
WALDORF, MD
ZIP 20602
PYRAMID WALDEN LLC
Social Worker
(Clinical)
85 HIGH ST
SUITE 4
WALDORF, MD
ZIP 20602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003670605, enumerated as an "organization" on February 13, 2024.
The provider is located at 85 HIGH ST WALDORF, MD 20602 and the phone number is (240) 882-0536.
Community/Behavioral Health with taxonomy code 251S00000X.
