MENTAL RETARDATION WAVIER PROGRAM NPI 1083809040

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

Organization Community Based Residential Treatment Fa...

About MENTAL RETARDATION WAVIER PROGRAM

Mental Retardation Wavier Program is a provider established in Columbus, Georgia specializing in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI number of Mental Retardation Wavier Program is 1083809040 and was assigned on September 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Perry Alexander (Ceo)

NPI

1083809040

Provider NameMENTAL RETARDATION WAVIER PROGRAM
Provider Location Address2100 COMER AVE. COLUMBUS, GA 31904
Provider Mailing Address1325 SANDUSKY DR COLUMBUS, GA 31907
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-12-2007
Last Update Date09-12-2007


Primary Taxonomy

Taxonomy Code320900000X
ClassificationCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
TypeResidential Treatment Facilities
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Business Address

MENTAL RETARDATION WAVIER PROGRAM
2100 COMER AVE.
COLUMBUS, GA
ZIP 31904
Phone: (706) 596-5583
Fax: (706) 596-5589

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Mailing Address

MENTAL RETARDATION WAVIER PROGRAM
1325 SANDUSKY DR
COLUMBUS, GA
ZIP 31907
Phone: (706) 596-5544


Authorized Official

Authorized Official Name PERRY ALEXANDER
Authorized Official TitleCEO
Authorized Official Phone(706) 596-5582

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.
1083809040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631601808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 6 + 0 + 1 + 8 + 0 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083809040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003028911 DANA BARRINEAU SST II
Individual
Counselor2100 COMER AVE.
COLUMBUS, GA 31904
(706) 596-5764
1598319832 ASANTE SHIPP HILTS DRPH, MPH
Individual
Health Educator2100 COMER AVE.
COLUMBUS, GA 31904
(706) 321-6108

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mental Retardation Wavier Program is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.