SOUTHSIDE VIRGINIA TRANINNG CENTER
NPI 1093794877
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Petersburg, VA

NPI Status: Active since January 11, 2006

Contact Information

26317 W WASHINGTON ST
PETERSBURG, VA
ZIP 23803
Phone: (804) 524-7209
Fax: (804) 524-7228

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 49D2101764
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-05-2025

About SOUTHSIDE VIRGINIA TRANINNG CENTER

This page provides the complete NPI Profile along with additional information for Southside Virginia Traninng Center, a provider established in Petersburg, Virginia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1093794877 assigned on January 2006. The practitioner's primary taxonomy code is 320600000X with license number 28892 (VA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. John A. Holland Jr. Md (Facility Director)

NPI
1093794877
Provider Name
SOUTHSIDE VIRGINIA TRANINNG CENTER
Entity Type
Organization
Location Address
26317 W WASHINGTON ST PETERSBURG, VA 23803
Location Phone
(804) 524-7209
Location Fax
(804) 524-7228
Mailing Address
PO BOX 4030 PETERSBURG, VA 23803
Mailing Phone
(804) 524-7209
Mailing Fax
(804) 524-7228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2006
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, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
28892
License State
VA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental 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

DR. JOHN A. HOLLAND JR. MD

Authorized Official Title
FACILITY DIRECTOR
Authorized Official Phone
(804) 524-7209

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2101764
Facility Type
Physician Office
Certificate Effective Date
November 06, 2023
Certificate Expiration Date
November 05, 2025
Laboratory Director
GEORGE QUARSHIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southside Virginia Traninng Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1093794877, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 9 → 18 → 9 7 → 14 → 5 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 4 + 9 + 8 + 8 + 1 + 4 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1093794877.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
26317 W WASHINGTON ST, CENTRAL STATE HOSPITAL
PETERSBURG, VA 23803
Family Medicine
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Social Worker (Clinical)
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Psychiatric Hospital
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Technician, Other
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Social Worker (Clinical)
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Pharmacist
26317 W WASHINGTON ST
PETERSBURG, VA 23803
General Acute Care Hospital
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Skilled Nursing Facility
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Nurse Practitioner (Psychiatric/Mental Health)
26317 W WASHINGTON ST
PETERSBURG, VA 23803
Nurse Practitioner (Psychiatric/Mental Health)
26317 W WASHINGTON ST
PETERSBURG, VA 23803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093794877, enumerated as an "organization" on January 11, 2006.

The provider is located at 26317 W WASHINGTON ST PETERSBURG, VA 23803 and the phone number is (804) 524-7209.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.