TRIAD OUTREACH LLC
NPI 1154911162
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kernersville, NC

NPI Status: Active since January 23, 2021

Contact Information

4533 VERNON CIR
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 615-6738

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  • Organization
  • Residential Treatment Facility, Intellec...

About TRIAD OUTREACH LLC

This page provides the complete NPI Profile along with additional information for Triad Outreach Llc, a provider established in Kernersville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1154911162 assigned on January 2021. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Triad Outreach Llc 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 Kevin Walton (Owner)

NPI
1154911162
Provider Name
TRIAD OUTREACH LLC
Entity Type
Organization
Location Address
4533 VERNON CIR KERNERSVILLE, NC 27284
Location Phone
(336) 615-6738
Mailing Address
4533 VERNON CIR KERNERSVILLE, NC 27284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2021
Last Update Date
01-23-2021
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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
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.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3207QA0000XAllopathic & Osteopathic Physicians

Family Medicine
Adolescent Medicine

 
4207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

 
5251S00000XAgencies

Community/Behavioral Health

 
6261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 
7261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
8261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
9261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
103245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 
11385HR2060XRespite Care Facility

Respite Care
Respite Care, Intellectual and/or Developmental Disabilities

 

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.

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

KEVIN WALTON

Authorized Official Title
OWNER
Authorized Official Phone
(336) 615-6738

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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 1154911162, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 5 → 10 → 1 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 8 + 1 + 2 + 1 + 1 + 2 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154911162.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154911162, enumerated as an "organization" on January 23, 2021.

The provider is located at 4533 VERNON CIR KERNERSVILLE, NC 27284 and the phone number is (336) 615-6738.

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