VINE HEALTH CARE, INC
NPI 1114477718
Community/Behavioral Health in Baltimore, MD

NPI Status: Active since October 06, 2016

Contact Information

7131 LIBERTY RD STE 200
BALTIMORE, MD
ZIP 21207
Phone: (443) 850-1967

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  • Organization
  • Community/Behavioral Health

About VINE HEALTH CARE, INC

This page provides the complete NPI Profile along with additional information for Vine Health Care, Inc, a provider established in Baltimore, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114477718 assigned on October 2016. The practitioner's primary taxonomy code is 251S00000X with license number MH2147 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Vine Health Care, Inc. The authorized official of this NPI record is Oluwafemi Moyoade Ikusika (C.e.o)

NPI
1114477718
Provider Legal Name
VINE HEALTH CARE
Other Organization Name
VINE HEALTH CARE, INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7131 LIBERTY RD STE 200 BALTIMORE, MD 21207
Location Phone
(443) 850-1967
Mailing Address
7131 LIBERTY RD STE 200 BALTIMORE, MD 21207
Mailing Phone
(410) 637-3005
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2016
Last Update Date
08-17-2020
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MH2147
License State
MD
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

OLUWAFEMI MOYOADE IKUSIKA

Authorized Official Title
C.E.O
Authorized Official Phone
(443) 621-1931

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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.
1114477718
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124871472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 7 + 1 + 4 + 7 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1114477718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114477718, enumerated as an "organization" on October 06, 2016.

The provider is located at 7131 LIBERTY RD STE 200 BALTIMORE, MD 21207 and the phone number is (443) 850-1967.

Community/Behavioral Health with taxonomy code 251S00000X.