SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC.
NPI 1194908400
Clinic/Center - Adult Day Care in Brookhaven, MS

NPI Status: Active since December 10, 2007

Contact Information

511 N. CHURCH STREET
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 833-4166

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  • Organization
  • Clinic/Center
  • Adult Day Care

About SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Serenity House Adult Day Health Services, Inc., a provider established in Brookhaven, Mississippi operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1194908400 assigned on December 2007. The practitioner's primary taxonomy code is 261QA0600X with license number 887539 (MS). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Katherine Richardson (President)

NPI
1194908400
Provider Name
SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC.
Entity Type
Organization
Location Address
511 N. CHURCH STREET BROOKHAVEN, MS 39601
Location Phone
(601) 833-4166
Mailing Address
POST OFFICE BOX 1334 BROOKHAVEN, MS 39601
Mailing Phone
(601) 833-4166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2007
Last Update Date
12-10-2007
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License No.
887539
License State
MS

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)
1251J00000XAgencies

Nursing Care

887539 (MS)
2343900000XTransportation Services

Non-emergency Medical Transport (VAN)

887539 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. KATHERINE RICHARDSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(601) 833-4166

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03680547MEDICAID (05)MS 

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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 1194908400, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 1 + 8 + 0 + 1 + 6 + 4 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194908400.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194908400, enumerated as an "organization" on December 10, 2007.

The provider is located at 511 N. CHURCH STREET BROOKHAVEN, MS 39601 and the phone number is (601) 833-4166.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.