WAKE FOREST BAPATIST HEALTHCARE A HOME, COMMUNITY CARE-WILKES, DISABLE
NPI 1235546623
Case Manager/Care Coordinator in North Wilkesboro, NC
NPI Status: Active since July 17, 2014
Contact Information
56 BOONE TRAIL
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 667-2208
- Organization
- Case Manager/Care Coordinator
- CLIA Number: 34D2210878
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-24-2027
About WAKE FOREST BAPATIST HEALTHCARE A HOME, COMMUNITY CARE-WILKES, DISABLE
This page provides the complete NPI Profile along with additional information for Wake Forest Bapatist Healthcare A Home, Community Care-wilkes, Disable, a provider established in North Wilkesboro, North Carolina operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1235546623 assigned on July 2014. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Wake Forest Bapatist Healthcare A Home, Community Care-wilkes, Disable. The authorized official of this NPI record is Janet Combs (Vice President, Licensure)
- NPI
- 1235546623
- Provider Legal Name
- WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
- Other Organization Name
- WAKE FOREST BAPATIST HEALTHCARE A HOME, COMMUNITY CARE-WILKES, DISABLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 56 BOONE TRAIL NORTH WILKESBORO, NC 28659
- Location Phone
- (336) 667-2208
- Mailing Address
- P.O. BOX 4060 ATTN: REGULATORY MOORESVILLE, NC 28117
- Mailing Phone
- (704) 662-0416
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2014
- Last Update Date
- 05-05-2022
- Code Navigator
Location Map
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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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 | 251B00000X | Agencies | Case Management | |
| 2 | 253Z00000X | Agencies | In Home Supportive Care | |
| 3 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 4 | 332U00000X | Suppliers | Home Delivered Meals | |
| 5 | 385H00000X | Respite Care Facility | Respite Care |
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.
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 |
|---|---|---|---|
| 1235546623 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2210878
- Facility Type
- Physician Office
- Certificate Effective Date
- January 25, 2025
- Certificate Expiration Date
- January 24, 2027
- Laboratory Director
- STEVEN J. HAGEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wake Forest Bapatist Healthcare A Home, Community Care-wilkes, Disable to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1235546623, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235546623, enumerated as an "organization" on July 17, 2014.
The provider is located at 56 BOONE TRAIL NORTH WILKESBORO, NC 28659 and the phone number is (336) 667-2208.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
