PROVIDENCE COMMUNITY SERVICE LLC
NPI 1053706812
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chesterfield, VA

NPI Status: Active since March 30, 2015

Contact Information

7011 EGAN PL
CHESTERFIELD, VA
ZIP 23832
Phone: (804) 674-1044
Fax: (804) 674-1110

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About PROVIDENCE COMMUNITY SERVICE LLC

This page provides the complete NPI Profile along with additional information for Providence Community Service Llc, a provider established in Chesterfield, Virginia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1053706812 assigned on March 2015. The practitioner's primary taxonomy code is 320900000X with license number 225301001 (VA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is John Thomas Edwards (C.e.o)

NPI
1053706812
Provider Name
PROVIDENCE COMMUNITY SERVICE LLC
Entity Type
Organization
Location Address
7011 EGAN PL CHESTERFIELD, VA 23832
Location Phone
(804) 674-1044
Location Fax
(804) 674-1110
Mailing Address
7011 EGAN PL CHESTERFIELD, VA 23832
Mailing Phone
(804) 674-1044
Mailing Fax
(804) 674-1110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2015
Last Update Date
03-30-2015
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
225301001
License State
VA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

JOHN THOMAS EDWARDS

Authorized Official Title
C.E.O
Authorized Official Phone
(804) 674-1044

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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 1053706812, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 1 + 2 + 8 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053706812.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053706812, enumerated as an "organization" on March 30, 2015.

The provider is located at 7011 EGAN PL CHESTERFIELD, VA 23832 and the phone number is (804) 674-1044.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.