ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
NPI 1063671469
Clinic/Center - Developmental Disabilities in Pocatello, ID
NPI Status: Active since June 02, 2008
Contact Information
151 N 3RD AVE
SUITE 110
POCATELLO, ID
ZIP 83201
Phone: (208) 232-5622
Fax: (208) 233-4639
- Organization
- Clinic/Center
- Developmental Disabilities
About ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
This page provides the complete NPI Profile along with additional information for Adolescent & Child Development Center, Llc, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1063671469 assigned on June 2008. The practitioner's primary taxonomy code is 261QD1600X with license number 261QD1600X (ID). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Vance Ray Walker (Owner/executive Director)
- NPI
- 1063671469
- Provider Name
- ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
- Entity Type
- Organization
- Location Address
- 151 N 3RD AVE SUITE 110 POCATELLO, ID 83201
- Location Phone
- (208) 232-5622
- Location Fax
- (208) 233-4639
- Mailing Address
- 151 N 3RD AVE SUITE 110 POCATELLO, ID 83201
- Mailing Phone
- (208) 232-5622
- Mailing Fax
- (208) 233-4639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2008
- Last Update Date
- 04-02-2009
- 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
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- License No.
- 261QD1600X
- License State
- ID
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | 261QM0801X (ID) |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 261QM0850X (ID) |
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 |
|---|---|---|---|
| 808259000 | MEDICAID (05) | ID | |
| 808028200 | MEDICAID (05) | ID | |
| 808257100 | MEDICAID (05) | ID |
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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 1063671469, 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 1063671469, enumerated as an "organization" on June 02, 2008.
The provider is located at 151 N 3RD AVE SUITE 110 POCATELLO, ID 83201 and the phone number is (208) 232-5622.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
