IMPACT COMMUNITY SERVICES, INC.
NPI 1043287097
Residential Treatment Facility, Emotionally Disturbed Children in Lauderhill, FL

NPI Status: Active since March 08, 2006

Contact Information

5631 NW 27TH CT
LAUDERHILL, FL
ZIP 33313
Phone: (954) 640-0340
Fax: (954) 640-0344

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  • Organization
  • Residential Treatment Facility, Emotiona...

About IMPACT COMMUNITY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Impact Community Services, Inc., a provider established in Lauderhill, Florida operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1043287097 assigned on March 2006. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Paul Schauber Lcsw (Executive Director)

NPI
1043287097
Provider Name
IMPACT COMMUNITY SERVICES, INC.
Entity Type
Organization
Location Address
5631 NW 27TH CT LAUDERHILL, FL 33313
Location Phone
(954) 640-0340
Location Fax
(954) 640-0344
Mailing Address
5631 NW 27TH CT LAUDERHILL, FL 33313
Mailing Phone
(954) 640-0340
Mailing Fax
(954) 640-0344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2006
Last Update Date
08-22-2020
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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 State
FL
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.

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. PAUL SCHAUBER LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(954) 640-0340

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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.
1043287097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20834814018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 1 + 4 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1043287097 is valid because the calculated check digit 7 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 1043287097, enumerated as an "organization" on March 08, 2006.

The provider is located at 5631 NW 27TH CT LAUDERHILL, FL 33313 and the phone number is (954) 640-0340.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.