SUPERIOR INNOVATIVE SERVICES II
NPI 1104762996
Peer Specialist in Castle Hayne, NC
NPI Status: Active since April 25, 2026
Contact Information
5000 BLUE CLAY RD STE D
CASTLE HAYNE, NC
ZIP 28429
Phone: (910) 352-9720
- Organization
- Peer Specialist
About SUPERIOR INNOVATIVE SERVICES II
This page provides the complete NPI Profile along with additional information for Superior Innovative Services Ii, a provider established in Castle Hayne, North Carolina operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104762996 assigned on April 2026. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Superior Innovative Services Ii operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Charles Davis (Ceo)
- NPI
- 1104762996
- Provider Name
- SUPERIOR INNOVATIVE SERVICES II
- Entity Type
- Organization
- Location Address
- 5000 BLUE CLAY RD STE D CASTLE HAYNE, NC 28429
- Location Phone
- (910) 352-9720
- Mailing Address
- PO BOX 308 HAMPSTEAD, NC 28443
- Mailing Phone
- (910) 352-9720
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2026
- Last Update Date
- 04-25-2026
- 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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 332U00000X | Suppliers | Home Delivered Meals | |
| 5 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 6 | 347C00000X | Transportation Services | Private Vehicle |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 1104762996, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104762996, enumerated as an "organization" on April 25, 2026.
The provider is located at 5000 BLUE CLAY RD STE D CASTLE HAYNE, NC 28429 and the phone number is (910) 352-9720.
Peer Specialist with taxonomy code 175T00000X.
