KINGDOM CARE SERVICE CENTER
NPI 1194917617
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Greensboro, GA
NPI Status: Active since August 17, 2007
Contact Information
107 E BROAD ST
GREENSBORO, GA
ZIP 30642
Phone: (706) 453-9055
Fax: (706) 453-4156
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
About KINGDOM CARE SERVICE CENTER
This page provides the complete NPI Profile along with additional information for Kingdom Care Service Center, a provider established in Greensboro, Georgia operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1194917617 assigned on August 2007. The practitioner's primary taxonomy code is 3104A0630X with license number CLA001142 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kingdom Care Service Center. The authorized official of this NPI record is Lillie R. Tripp (Controlling Manager)
- NPI
- 1194917617
- Provider Legal Name
- LAKE OCONEE ASSISTED LIVING, LLC
- Other Organization Name
- KINGDOM CARE SERVICE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 107 E BROAD ST GREENSBORO, GA 30642
- Location Phone
- (706) 453-9055
- Location Fax
- (706) 453-4156
- Mailing Address
- 107 E BROAD ST P.O. BOX 1152 GREENSBORO, GA 30642
- Mailing Phone
- (706) 453-9055
- Mailing Fax
- (706) 453-4156
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2007
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 732 Linton Rd
Sparta, GA 31087
(706) 817-9618
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
Assisted Living Facility Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- License No.
- CLA001142
- License State
- GA
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center |
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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 1194917617, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194917617, enumerated as an "organization" on August 17, 2007.
The provider is located at 107 E BROAD ST GREENSBORO, GA 30642 and the phone number is (706) 453-9055.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
