CRSI
NPI 1164894150
Intermediate Care Facility, Intellectual Disabilities in Mount Vernon, OH

NPI Status: Active since October 29, 2015

Contact Information

710 S MAIN ST
MOUNT VERNON, OH
ZIP 43050
Phone: (937) 653-1320
Fax: (937) 653-1321

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About CRSI

This page provides the complete NPI Profile along with additional information for Crsi, a provider established in Mount Vernon, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1164894150 assigned on October 2015. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Crsi. The authorized official of this NPI record is Scott A Delong (President)

NPI
1164894150
Provider Legal Name
CHAMPAIGN RESIDENTIAL SERVICES, INC.
Other Organization Name
CRSI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
710 S MAIN ST MOUNT VERNON, OH 43050
Location Phone
(937) 653-1320
Location Fax
(937) 653-1321
Mailing Address
1150 SCIOTO ST PO BOX 29 URBANA, OH 43078
Mailing Phone
(937) 653-1320
Mailing Fax
(937) 653-1321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2015
Last Update Date
10-29-2015
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License State
OH
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

SCOTT A DELONG

Authorized Official Title
PRESIDENT
Authorized Official Phone
(937) 653-1320

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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.
1164894150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241698110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 9 + 8 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1164894150 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 provider is registered at the same or nearby location.

CONCEPTS IN COMMUNITY LIVING, INC.

Residential Treatment Facility, Physical Disabilities

710 S MAIN ST
MOUNT VERNON, OH
ZIP 43050

(740) 393-0055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164894150, enumerated in the NPI registry as an "organization" on October 29, 2015

The provider is located at 710 S Main St Mount Vernon, Oh 43050 and the phone number is (937) 653-1320

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

This NPI record was last updated on October 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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